Save Type Surname (from nickname) Usage Ukrainian, Russian, Belarusian Scripts Шрамко(Ukrainian, Russian, Belarusian) Pronounced Pron. /ʃrɐm.ˈkɔ/(Ukrainian) /ʂrɐm.ˈko/(Russian) /ʃram.ˈko/(Belarusian) [key·simplify] Meaning & History Derived from East Slavic шрам (shram) meaning "scar, cicatrix".