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“La Flame” is a nickname for Travis Scott, derived from Travis' 2013 song, “Blocka La Flame.” Drake and Trav have collaborated prior to “SICKO MODE” on 2015’s “Company,” and more recently, on 2017’s “Portland.” Drake uses the term “sicko” (or 6icko) to describe his friends, but in this context, it’s referring to the rager mentality for which Travis is known. Drake previously referred to himself as a “sicko” on “Summer Sixteen” : I’m just a sicko, a real sicko when you get to know me, nigga