Drake pays homage to Toronto here, musing on the influence that he has on his home city:
Keeping people fed is my only peace of mind now And I turn the six upside down, it's a nine now I made a decision last night that I would die for it
Drake has done so much for the city of Toronto, but he's aware that with great power comes great responsibility.
Drake and his OVO Crew often use "6" as a slang word for Toronto in their songs. Their use of the number is a reference to the city's area codes, 416 and 647. Dreezy's success has turned the city upside down - hence the title being 6 turned over to 9.
The hook is sampled from Jamaican dancehall singer Mavado's 2007 song "Dying." Mavado previously worked with Drake when he played the gang leader in the music video for Drake's "Find Your Love".