Save Gender Masculine Usage English (American) Pronounced Pron. /pæt͡ʃ/(American English) [key·simplify] Meaning & History Short form of Patrick, coming from how the sequence ⟨tr⟩ is pronounced like ⟨ch⟩ in many dialects of American English.A notable bearer is content creator Patrick "Patch" Lacey, better known as TierZoo.