41%RatingSave Gender Masculine Usage Ancient Roman Pronounced Pron. /ˈsek.stus/ [key·simplify] 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 formal upper class devious strong rough strange complex Categories birth order, Elder Scrolls characters, Latin words, numbers, numeric meanings, praenomina, The Roman Mysteries characters