| Patterson Branch | rises in central Franklin County and flows SE into Fox Creek. |
| Patterson Branch | rises in E Hoke County and flows SW into Puppy Creek. |
| Patterson Branch | rises in N Yancey County and flows SE into Jacks Creek. |
| Patterson Creek | rises in NW Iredell County and flows E into Rocky Creek. Formerly known as Big Rocky Creek. |
| Patterson Creek | rises in W Lee County and flows NW into Deep River. |
| Patterson Creek | rises in S central Transylvania County and flows SE into French Broad River. |
| Patterson Springs | community in S Cleveland County. Alt. 904. Settled in the 1880s. Named for Arthur Patterson Sr., who lived near Kings Mountain at the time of the 1780 battle. |
| Patterson Top | W Cherokee County N of Hiwassee Dam and E of Anderson Creek. |
| Patterson Township | former township in SW Alamance County, now township no. 1. |
| Patterson Township | N central Caldwell County. |