Popular Twitch streamer Dr Disrespect got the Internet buzzing again last week when he used the copium Twitch emote in his live stream, but you might be wondering what does copium mean? I'll tell you that in just a second, but first we need to dive into the fascinating history of this emote, and especially what is the meaning in copium Urban Dictionary. From there we can see why people are so confused about copium's meaning today. For the uninitiated, here's what copium looks like in action: