Loading patterns
Open Photoshop and click on Edit > Preset Manager.... A window will open, there, where it says Preset type, select Patterns.

Now click on Load... and browse your folders to find the .pat file you want to load and click OK. If you scroll down, you'll see your newly loaded patterns.

Creating patterns
When you've created your pattern, simply click on Edit > Define pattern and input a name. From now on, you'll be able to use your own pattern.

Using patterns
Click on Edit > Fill and select Pattern from the drop down as shown below.

Select the pattern you'd like to use and click OK. The pattern is now applied to your images!

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