Patrick uses a numerous amount of board games, including Apologies!, Battling Robo-Tops, The Game of Misery, Grab 'Em Twigs, Bottomopoly, Sea Snakes and Ladders, Secret Date, World Take Over, Battle Boats, Surgery, Brain Trivia, Rat Catcher, Birdiecheesi, Cavityland, Slot Car Race Set, and Starving Starving Sea Stars, to make Patrick! The Game by cutting, gluing, taping them together, and bringing it to life in a Frankenstein style. The shape of the game is shown to be roughly the shape of Patrick.
List of rules
If a player is in jail, they have to stay in there until they roll a 6 or someone says their name. The former of these, however, has no purpose, as a player may not roll when they are in jail.
If a person declares "outsidies," all players must go outside.
No player may declare themselves the automatic winner.
He then decides to go ask Sandy for advice, and she suggests using elements from other games he likes and begins to start researching. Thus, Patrick! The Game is created. However, the game is destroyed by Squidward, due to his anger about losing it and that the game made no sense to him.