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Old English siex, six, sex, from Proto-Germanic *sekhs (cf. Old Saxon and Danish seks, Old Norse, Swedish, and Old Frisian sex, Middle Dutch sesse, Dutch zes, Old High German sehs, German sechs, Gothic saihs), from PIE *s(w)eks (cf. Sanskrit sas, Avestan kshvash, Persian shash, Greek hex, Latin sex, Old Church Slavonic sesti, Polish szesc, Russian shesti, Lithuanian szeszi, Old Irish se, Welsh chwech).
Six-shooter, usually a revolver with six chambers, is first attested 1844; six-pack of beverage containers is from 1952, of abdominal muscles by 1995. Six of one and half-a-dozen of the other "little difference" is recorded from 1833. Six-figure in reference to hundreds of thousands (of dollars, etc.) is from 1840. Six feet under "dead" is from 1942.
Phrase at sixes and sevens originally was "hazarding all one's chances," first in Chaucer, perhaps from dicing (the original form was on six and seven); it could be a corruption of on cinque and sice, using the French names (which were common in Middle English) for the highest numbers on the dice. Meaning "at odds, in disagreement or confusion" is from 1785, perhaps via a notion of "left unsettled."