As a young man he moved to Plovdiv in Bulgaria to apply for work in a leather production company.

[4] Patchev joined a secret society commonly known as Internal Macedonian Revolutionary Organization (IMRO).

On August 5, 1898, Dimitar Grdanov, a Serbian teacher in Ohrid, and pro-Serbian activist in Macedonia, was murdered by him, after which he and his fellow conspirators Hristo Uzunov, Cyril Parlichev and Ivan Grupchev were arrested.

[9] In 1904 in Philadelphia, Pennsylvania, a group of Bulgarian immigrants established the Macedonian-Adrianople Charitable Society "Metody Patchev".

[10] To the heroic death of Patchev and his comrades, Hristo Silyanov dedicated his poem "Kadino Village Heroes", published in 1904 in Bulgarian.