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patch (n.1)

"piece of cloth used to mend another material," late 14c., pacche, of obscure origin, perhaps a variant of pece, pieche, from Old North French pieche (see piece (n.1)), or from an unrecorded Old English word (Old English had claðflyhte for "a patch").

Meaning "portion of any surface different from what is around it" is from 1590s. That of "small piece of ground," especially one under cultivation, is from 1570s. As "small piece of plaster used on the face," to cover blemishes or enhance beauty is from 1590s. Phrase not a patch on "nowhere near as good as" is from 1860.

patch (n.2)

"fool, clown," 1540s, perhaps from Italian pazzo "fool," a word of unknown origin. Possibly from Old High German barzjan "to rave" [Klein]. But Buck says pazzo is originally euphemistic, and from Latin patiens "suffering," in medical use, "the patient." The form perhaps eas influenced by folk etymology derivation from patch (n.1), on notion of a fool's patched garb.

patch (v.)

mid-15c., pacchen, "to put a patch on, mend by adding a patch," from patch (n.1). Electronics sense of "to connect temporarily" is attested from 1923 on the notion of tying together various pieces of apparatus to form a circuit. Related: Patched; patching.

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Definitions of patch from WordNet
1
patch (n.)
a small contrasting part of something;
a patch of clouds
patches of thin ice
Synonyms: spot / speckle / dapple / fleck / maculation
patch (n.)
a small area of ground covered by specific vegetation;
a briar patch
a cabbage patch
Synonyms: plot / plot of land / plot of ground
patch (n.)
a piece of cloth used as decoration or to mend or cover a hole;
patch (n.)
a period of indeterminate length (usually short) marked by some action or condition;
a patch of bad weather
Synonyms: while / piece / spell
patch (n.)
a short set of commands to correct a bug in a computer program;
patch (n.)
a connection intended to be used for a limited time;
Synonyms: temporary hookup
patch (n.)
sewing that repairs a worn or torn hole (especially in a garment);
Synonyms: mend / darn
patch (n.)
a protective cloth covering for an injured eye;
Synonyms: eyepatch
patch (n.)
a piece of soft material that covers and protects an injured part of the body;
Synonyms: bandage
2
patch (v.)
to join or unite the pieces of;
patch the skirt
Synonyms: piece
patch (v.)
provide with a patch; also used metaphorically;
The field was patched with snow
patch (v.)
mend by putting a patch on;
patch a hole
Synonyms: patch up
patch (v.)
repair by adding pieces;
Synonyms: piece
From wordnet.princeton.edu