On the hype beast sick, they gon' need a paramedic

from Mike WiLL Made It (Ft. Juicy J, Miley Cyrus & Wiz Khalifa) – 23 Lyrics on Rap Genius

Meaning

A play on his shoe collection being “sick”/“ill” — meaning cool.
Since the term ‘hypebeast’ is a pejorative term for someone who only wears a certain style of shoes/clothing because it is popular.

To help improve the meaning of these lyrics, visit “23” by Mike WiLL Made It (Ft. Juicy J, Miley Cyrus & Wiz Khalifa) Lyrics and leave a comment on the lyrics box