Typically a younger (male) who is acting out of the ordinary or being really goofy.
“You see how Shawn was acting at that party? He’s the Sickest boy!”
A term used to describe a mekbourne sick bitch who hooks up a lad good and than becomes known as 'sickest bitch ever'
Ren ran into Mems on his way to buy paint and Ren said "I have a bag of paint in my backpack you can have." Mems replied "sickest bitch ever..."
To describe a Melbourne Lad who's a bad ass
Ren"hey Harley that Memo is the sickest cunt!, he helped me the other day, was so gratefull."