When you spitting real shit eventually you throw up
When you’re talking about the world, eventually you’re going to realize how fucked up everything is and feel sick because of it. Life is scary and Gambino admits that.
Also on a less complex level he is saying he is a “sick” rapper.
To help improve the meaning of these lyrics, visit "Life: the biggest troll [andrew auernheimer]" by Childish Gambino Lyrics and leave a comment on the lyrics box