Whilst the operating system can run many processes at the same time, in fact it only ever directly starts one process called the init (short for initial) process. This isn't a particularly special process except that it's PID is always 0 and it will always be running.
All other processes can be considered children of this initial process. Processes have a family tree just like any other; each process has a parent and can have many siblings, which are processes created[1] by the same parent.
Certainly children can create more children and so on and so forth.
[1] | The term spawn is often used when talking about parent processes creating children; as in "the process spawned a child". |