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Patrician may refer to:
- Patrician (ancient Rome), the original aristocratic families of Ancient Rome, and a synonym for "aristocratic" in modern English usage
- Patrician (post-Roman Europe), the governing elites of cities in parts of medieval and Early Modern Europe
- Patrician (Christianity), the adjective formed from St. Patrick
- Youngstown Patricians, a former semi-professional football team based in Youngstown, Ohio, USA
- A student or former student of St Patrick's High School, Karachi, Pakistan
- A member of the Argentine Regiment of Patricians
- The Patrician, an annual publication of the Princess Patricia's Canadian Light Infantry regiment
- Havelock Vetinari, the Patrician of Ankh-Morpork in Terry Pratchett's Discworld series
- The Patrician (video game), a series of historical trading simulation computer games
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