Dictionary.com
Thesaurus.com

sicko

American  
[sik-oh] / ˈsɪk oʊ /

noun

Slang.

plural

sickos
  1. sickie.


sicko British  
/ ˈsɪkəʊ /

noun

  1. a person who is mentally disturbed or perverted

"Collins English Dictionary — Complete & Unabridged" 2012 Digital Edition © William Collins Sons & Co. Ltd. 1979, 1986 © HarperCollins Publishers 1998, 2000, 2003, 2005, 2006, 2007, 2009, 2012

adjective

  1. perverted or in bad taste

    sicko prurience

"Collins English Dictionary — Complete & Unabridged" 2012 Digital Edition © William Collins Sons & Co. Ltd. 1979, 1986 © HarperCollins Publishers 1998, 2000, 2003, 2005, 2006, 2007, 2009, 2012

Usage

What does sicko mean? Sicko is a slang word for someone considered deranged, sadistic, perverted, disturbed, or the like.

Etymology

Origin of sicko

sick 1 + -o

Example Sentences

Examples are provided to illustrate real-world usage of words in context. Any opinions expressed do not reflect the views of Dictionary.com.

It’s worth watching the whole thing, if you’re exactly the right kind of sicko.

From Salon • Apr. 26, 2026

Cycling through head coaches like Hollywood assistants who can’t perfect a Starbucks order is another symptom of college football’s sicko economy.

From The Wall Street Journal • Nov. 4, 2025

If you’re a sicko, buy the Orange Push-Up shake, which looks radioactive and tastes like being 7 years old.

From Slate • Sep. 5, 2023

Even worse, it is strongly implied that David is just a sicko, through and through — and that he has been since before the end times.

From New York Times • Mar. 5, 2023

That sounds a little sicko, but too bad.

From "A Heart in a Body in the World" by Deb Caletti