[1] Players begin a game of Patchwork with five buttons, and take turns moving around a time-track board,[3] about which are dispersed polyomino tiles representing fabric.

[2][1] During their turn, they may choose one of three tiles available along the path, which determines the distance travelled on the central board and the choices available to the next player.

[4] To obtain the tile, the player must ensure it will fit on their individual 9x9 grid board,[5]: 69  and pay the associated cost in buttons.

[1] Acquired tiles become the basis of a quilt assembled on the player's individual grid board.

[1] Players move their time marker until it reaches the centre of the time-track board, at which point their game is finished.

It is available in German, English, Chinese, Italian, Spanish, Polish, Korean, Japanese, Hungarian, French, Dutch, Czech, Russian, Romanian, Portuguese, Greek, Turkish, Nordic, Hebrew, Thai, Baltic, Ukrainian, and Korean.

Current printings have the first single square "leather patch" on the board moved further down the track, as playtesting showed it to be placed too early.

It was subsequently released in Hungarian, Polish, English (as Patchwork XMAS Edition), and Japanese.

It uses the same mechanics as the original Patchwork, but has larger tiles, fewer squares per board, and simpler scoring, making it easier for a younger audience or faster gameplay.

[1] In a board games review by Wirecutter, Patchwork was described as being "similar to Tetris but with a sewing theme" and a "surprisingly complex challenge".

[1] An Ars Technica review described it as easy to learn, quick to play, and "filled with a surprising amount of tactics and strategy".