44%RatingSave Gender Masculine Usage Ancient Roman Pronounced Pron. SEHK-stoos [key·IPA] Meaning & History Roman praenomen, or given name, meaning "sixth" in Latin. It was traditionally given to the sixth child. Related NamesFamily Tree·Details Other Languages & CulturesSesto(Italian) People think this name isRate·Details classic mature upper class devious strong rough strange complex comedic Categories birth order, Latin words, numbers, numeric meanings, praenomina, The Roman Mysteries characters