The water's blue, swallow the pill
Keepin' it surreal, whatever you like

from Frank Ocean – Sweet Life Lyrics on Rap Genius

The blue pill (which Frank imagines as the same color as the Cali water) refers to the 1999 movie The Matrix in which Keeanu Reeves’s character was given the choice of taking a blue or red pill. The blue would allow him to remain “asleep” in the dream (surreal) world of the Matrix, and the red would wake him up, showing him the grim reality of the real world.

Frank wishes to continue living his dream life.

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