sick

sick — adjective

1. suffering from a disease or medical condition that prevents your body or mind fr

1.adjectiveA2
Definition

suffering from a disease or medical condition that prevents your body or mind from working as it should

Example

Lien was too sick to go to school yesterday, so she stayed in bed.

too sick to + infinitive

The sick child lay quietly while the nurse checked her temperature.

attributive use before a noun

Common collocations
  • dangerously sick
  • critically sick
  • sick patient
  • sick leave
  • sick note
Synonyms
  • ill

    more common in British English for general health conditions

  • unwell

    more formal, sounds gentler and more polite

  • poorly

    informal, especially British English, used mainly after a verb

Antonyms
  • well

    opposite of sick in the health sense

  • healthy

    opposite, describes a long-term good condition

Usage Note

In British English, 'be sick' usually means 'vomit' (see sense 4), not simply 'be ill'. Use 'be ill' or 'feel unwell' to avoid confusion in the UK.

Common Mistakes

I was sick for three days with a cold.' (in UK English this could mean 'I vomited').
I was ill for three days with a cold.
'sick' can mean 'ill' in US English, but in UK English 'be sick' specifically means 'vomit'.

2. to phone the place where you work and tell them you cannot come in because you a

2.adjectiveB1
Definition

to phone the place where you work and tell them you cannot come in because you are unwell

Example

Élise called in sick this morning because she had a high fever.

call in sick — phrasal pattern

Kabir has been off sick for three days with a stomach problem.

off sick — phrasal pattern

Common collocations
  • call in sick
  • be off sick
  • report sick
  • go sick
Synonyms
  • take sick leave

    more formal and includes the idea of official leave from work

Grammar Patterns

call in sick

be off sick

report sick

Usage Note

This sense does not stand alone as an adjective — it appears only in fixed phrases like 'call in sick', 'be off sick', or 'report sick'. The structure is always [verb] + sick.

3. experiencing an unpleasant feeling in your stomach as if the food inside it is a

3.adjectiveA2
Definition

experiencing an unpleasant feeling in your stomach as if the food inside it is about to come up through your mouth

Example

The smell of the fish market made Constanza feel sick to her stomach.

feel sick to one's stomach — set phrase

Wei felt sick during the long bus ride on the winding mountain road.

travel sickness context

Common collocations
  • feel sick
  • make someone sick
  • sick to one's stomach
  • travel sick
  • carsick
  • seasick
Synonyms
  • nauseous

    more formal or medical, less common in everyday speech

  • queasy

    less intense, a mild feeling that something may come up

  • carsick / seasick

    specific types of nausea caused by motion

Antonyms
  • settled

    opposite feeling, when the stomach is calm

Grammar Patterns

feel sick

be sick

make someone sick

Usage Note

In British English, 'I feel sick' almost always means 'I feel nauseous', not 'I feel ill in general'. For general illness, use 'I feel ill' or 'I feel unwell'.

4. to have food or drink from your stomach come back up and leave your body through

4.adjectiveB1
Definition

to have food or drink from your stomach come back up and leave your body through the mouth, typically because of illness or an upset stomach

Example

The puppy ate too much grass and was sick all over the kitchen floor.

be sick — British English for vomit

After eating the bad seafood, Mira was sick twice during the night.

Common collocations
  • be sick
  • make oneself sick
  • sick up
Synonyms
  • vomit

    more formal and clinical; suitable for medical contexts

  • throw up

    common in American English and informal British English

  • be sick

    standard British English phrase for vomiting

Grammar Patterns

be sick

make oneself sick

Usage Note

In British English, 'be sick' is the most common way to say 'vomit'. In American English, 'throw up', 'get sick', or 'vomit' are more common. Learners in Taiwan studying British English should know that 'I was sick' can mean 'I vomited'.

Common Mistakes

I feel sick' (when you mean you want to vomit — this is correct in British English but ambiguous).
I feel like I am going to be sick.
clearer to say you are about to vomit.
I vomited the food.' (sounds very clinical).
I was sick after eating the food.
natural British English.

5. feeling annoyed, irritated, or disgusted by a situation that just will not stop

5.adjectiveB2
Definition

feeling annoyed, irritated, or disgusted by a situation that just will not stop or change

Example

Eric was sick of hearing the same excuse from his roommate every week.

sick of + gerund

The neighbours are sick of the noise coming from the building site.

Common collocations
  • sick of
  • sick and tired of
  • worried sick
  • sick to death of
Synonyms
  • fed up with

    similar meaning, slightly less strong, informal

  • tired of

    less intense, focuses on boredom rather than anger

  • disgusted by

    stronger, focuses on moral outrage

Grammar Patterns

sick of + noun/gerund

sick and tired of + noun/gerund

Usage Note

Unlike senses 1-4, this sense requires a complement — you are sick 'of' something or someone. It cannot stand alone: 'I am sick' means ill or nauseous, but 'I am sick of it' expresses annoyance.

Common Mistakes

I am sick with this situation.
I am sick of this situation.
'sick of' is the correct pattern for annoyance; 'sick with' is used for illness (sick with a cold).

6. dealing with death, pain, or violence in a way that most people find cruel, offe

6.adjectiveB2
Definition

dealing with death, pain, or violence in a way that most people find cruel, offensive, or deeply disturbing

Example

The horror film was full of sick scenes that made the audience look away.

sick + noun — describes disturbing content

Eric told a sick joke about the accident, and nobody laughed.

Common collocations
  • sick joke
  • sick sense of humour
  • sick mind
  • sick details
  • sick film
Synonyms
  • disturbing

    focuses on the emotional effect on the observer

  • morbid

    specifically about an unhealthy interest in death

  • twisted

    informal, suggests something is mentally wrong

  • macabre

    more formal, about the unpleasantness of death

Antonyms
  • wholesome

    opposite — clean, healthy, and morally good

Usage Note

This sense is stronger than 'cruel' — it suggests something that is morally disturbing, not just unkind. It is often used to describe jokes, humour, or film content that crosses a social boundary.

7. extremely good, impressive, or enjoyable — used as informal slang, especially by

7.adjectiveB2
Definition

extremely good, impressive, or enjoyable — used as informal slang, especially by younger speakers

Example

That skateboard trick was sick — Wei landed it perfectly on the first try.

informal slang: sick = awesome

Lien showed us some sick dance moves at the party last night.

Common collocations
  • absolutely sick
  • totally sick
  • sick move
  • sick guitar
  • sick beat
Synonyms
  • awesome

    common slang, not as informal as 'sick'

  • cool

    classic slang, widely understood across age groups

  • amazing

    less informal, suitable for more contexts

Antonyms
  • lame

    slang opposite meaning 'uncool' or 'disappointing'

Usage Note

This slang sense is the opposite of sense 6 — a 'sick joke' is bad, but a 'sick guitar' is great. Context is everything. This meaning is most common among younger speakers in informal situations and may sound strange or confusing to older listeners.

Common Mistakes

Using 'sick' in formal writing to mean 'excellent' — avoid in essays, business emails, or academic contexts.
Use 'excellent', 'impressive', or 'outstanding' instead.
Idioms

be sick

idiom

To bring food from your stomach back out through your mouth.

After eating bad seafood, Min was sick all night.

Did the baby be sick after drinking that milk?

To be extremely worried about someone or something.

Sara was worried sick when her son didn't come home.

Diego was sick with worry before his job interview.

To become ill or unwell.

Many students fell sick after the school trip.

Aiden fell sick with a fever last weekend.

To make someone very angry or disgusted.

The unfair treatment makes me sick.

Does his rude behavior make you sick?

Feeling very ill and vomiting a lot.

After the roller coaster, Maya was sick as a dog.

Brian felt sick as a dog and stayed in bed.

Very disappointed about something that happened.

He was sick as a parrot when his team lost.

Sara felt sick as a parrot after failing the test.

Feeling very unhappy or disappointed about a situation.

Min was sick at heart after hearing the bad news.

The teacher felt sick at heart seeing students cheat.

Feeling very angry or worried about something.

Nora was sick to her stomach when she saw the mess.

That cruel joke made me sick to my stomach.

sick — noun

Word family

  • sickness
    nounB1
  • sicken
    verbB2
  • sickly
    adjectiveB2
  • sickening
    adjectiveB2

Synonym discussion

Sense: adjective/1

All four alternatives describe poor health, but they differ in register and regional use. 'Ill' is the most common in British English and is suitable for both formal and everyday use — you can say 'She is ill with a fever' in a letter or a conversation. 'Unwell' is more polite and slightly softer; doctors often ask 'Are you feeling unwell?' rather than 'Are you sick?' to sound more gentle. 'Poorly' is informal and mainly British — it sounds warm and natural in casual speech ('The little girl is poorly today'). 'Under the weather' is an idiom that means mildly unwell, not seriously sick. You would use it when you have a headache or a cold but can still function: 'I am feeling a bit under the weather, so I will work from home.' Unlike 'sick', none of these alternatives are used for vomiting in British English, which makes them safer choices for learners communicating in the UK.

Common collocations

Nouns

Phrases

  • sick as a dog

Prepositions

Etymology

Proto-GermanicOld EnglishEnglish

The word 'sick' comes from Old English 'seoc', which meant 'ill, diseased, or weak'. This word goes back to Proto-Germanic '*seukaz', and is related to Old High German 'sioh' (German 'siech') and Gothic 'siuks'. The slang meaning 'excellent' (sense 7) is a much more recent development — it emerged in African American Vernacular English in the late 20th century and spread into mainstream youth slang by the 1990s and 2000s, creating the unusual situation where 'sick' has two opposite meanings.