Ballerini opted for an all-girl approach to Patterns, as she co-wrote and co-produced all 15 tracks on the album with Alysa Vanderheym, with additional writing on several songs from Jessie Jo Dillon, Karen Fairchild, and Hillary Lindsey.

[3] She said the process happened "organically" following a songwriting retreat with her female collaborators, birthing an album "made from womanhood and sisterhood".

[5] Ballerini credited boyfriend Chase Stokes as being present during the entire creation process for Patterns, and the inspiration for the song "How Much Do You Love Me?"

[4] On October 28, 2024, Ballerini released an exclusive digital download of Patterns through her official website that included two bonus tracks, a stripped acoustic version of "Two Things" and "To the Men That Love Women After Heartbreak".

[1] Jof Owen with Holler rated the album a nine out of 10, declaring it a "country pop grand slam" and favorably comparing it to Taylor Swift's The Tortured Poets Department and Kacey Musgraves' Star-Crossed, while stating that Ballerini's "recovery technique feels more straightforwardly out-with-the-old-and-in-with-the-new.