Negitive/derogatory;One who licks a male's scrotum (ball sac)

A pick me is a woman that is willing to do anything for male approval. She will embarrass or throw other women under the bus to achieve this goal. The unfortunate thing about a pick me is usually the men they are trying to seek approval from are of poor quality and treat women badly, leaving little real benefit for the pick me.

female or male that likes to lick the scrotum for pleasure.

The term Sacklicker is considered to be one of the most derogatory references that can be used toward one heterosexual male from another. Its origin was most likely the Northwest United States around the year 2000. It is most often used as a trump in place of other slang phrases such as "He is a piece of crap motherfucker". This form of slang is Gutterslang.

A Sacklicker is considered the lowest form of male life and is even lower than a cocksucker.

Other uses of the term may refer to oral sex such as a fellatio limiting the derogatory use as noted above.