Sanity is relative. We should call them "rationally challenged."
To me it sounds like they're nothing but rational, to the extreme.
Why are they called "The Fallen", anyway? Fallen is usually a derogatory term associated with degeneration or devolution of one form or another. Wheras these fallen, in the world of Elemental, sounds more like Ascended beings, superior to the average mortals they share the world with.
What does the snake, dog or cattle matter to humans? And as such, what does the humans matter to us that have ascended, or transcended, our flawed coil? No, I tell you, we are the peak of human evolution and magical intricacy, chained only to boundless potential!
The humans vie for our power, like jealous little siblings, mere children, in the face of the eldar gods. Like naive and pathetic creatures bound by the human condition they call us "evil", "oppressive" or "insane". What is insanity, if not to willingly grovel at the feets of creation itself, spitting acid and foul words at their betters?!
Bah, I say! Bah, and woe to "humanity" and all the little, small-minded creatures of this world!