The River Thames was not "made" or constructed—it is a natural river system that has evolved over geological timescales.
The Thames' ancestral form emerged during the Pleistocene epoch (~2 million years ago). The river's course was shaped by:
While the river is natural, humans have profoundly altered it: Roman embankments, medieval weirs/mills, Victorian embankments (Bazalgette), 20th-century flood defenses (Thames Barrier), and continuous dredging. The modern tidal Thames is a heavily managed system, but its fundamental course reflects ancient geological forces.