In Elden Ring, you’ll find a wide range of characters that will share their plight with you, most of these will have Quests that span multiple locations. This page will detail where you can find Patches and complete his Questline.
First Meeting - Murkwater Cave
Everyone’s favorite trickster, Patches, makes an appearance in Elden Ring, and your first meeting with him will be unlike any from the previous games. Patches is easy enough to locate, if you look north from Lake Agheel, you’ll see a stream leading toward the . Beware however, as you head down toward that path, will invade and block the entrance to the cave. Note that you cannot use Spirits in the battle against Nerijus but you will be aided by an NPC, Yura, who will appear once the battle begins.
You can choose to flee the battle by heading back to Lake Agheel, but you will forfeit the chance of a great weapon. Once inside, be sure to use the Site of Grace and you’ll have to battle through some Bandits before you reach the boss room to the right at the intersection. You’ll need to bring his HP to half to end the battle, after which you’ll be able to speak to him. You’ll also gain the Gesture, along with access to his wares, some of which are very useful!
Once you return to (via the warp in the room), Patches will have opened up his shop to you and it’s well worth using some hard earned Runes to purchase some of his goods, not least which will help with a story boss soon.
Second Meeting - Murkwater Cave
You can complete the next step of Patches Quest right after you have access to his shop. You may have noticed that tempting Chest nearby and for those of you familiar with Patches, you’ll know that it’s too good to be true. Patches will warn you when you ask him about it, but ignore that and examine the Chest to be hit with a transporter trap that will whisk you off to , in the middle of some rather large bears.
You won’t be able to fast travel via the map for now, instead you’ll need to track down a Site of Grace and use it to remove the status effect and make your way back to Patches in . He’ll remark about the whole ordeal, but will continue to sell you his wares all the same. Patches will remain in until you defeat , after which he remarks he’s moving on but that is accomplices will continue to run the shop.
Third Meeting - Scenic Isle
You’ll next come upon Patches on a secluded island in the middle of the lake in Liurnia, named Scenic Isle, you can reach this island by heading south from the Site of Grace. Once you reach this island, speak with Patches again to learn he has setup shop once more. More importantly, exhaust all of his dialogue to learn a little more about your surroundings, especially secrets that pertain to . Patches will remain here until you leave Liurnia.
Fourth Meeting - Volcano Manor
Once you reach , you’ll find Patches just through the entrance in his usual pose. After agreeing to join from Lady and completing the first assassination contract, speak to Patches and he’ll hand you the Letter to Patches that details an assassination target. You’ll need to head to the boss room in Overlook and you’ll find an invasion sign on the ground. Inside, you’ll need to deal with and for defeating him, you’ll obtain the .
Return to Patches to give him the news, then rest at the nearby Site of Grace and return to him once more, he’ll hand over the as a reward for helping him. Patches will remain in until after you defeat the boss of the area, after which he’ll move on to the Shaded Castle to the northeast.
Fifth Meeeting - The Shaded Castle
Head to to the northeast of and proceed through it until you reach the bridge of statues leading to the boss room. If you look carefully on your left (facing the boss room), you’ll find Patches slumped up against the side. Speak with him and he’ll request that you hand over the to give to back at . Be sure to exhaust his dialogue and then leave the area to have Patches move on to his final location.
Final Meeting - Murkwater Cave
The quest comes full-circle as Patches will finally return to where you first met him, at in . Make your return and after defeating the first two regular bandits, head to the right to see a boss door once more. Head inside, open the chest begging to be looted and Patches will leap down to challenge you again. This is not a real battle however, you must let him strike you a few times (you can block this) and he’ll quickly recognize you, begging for his life. Opt to spare him and the battle will end and he’ll teach you the Gesture and reopen his shop.