diff --git a/crates/typst-pdf/src/color.rs b/crates/typst-pdf/src/color.rs
index 17c4686af..d7781b352 100644
--- a/crates/typst-pdf/src/color.rs
+++ b/crates/typst-pdf/src/color.rs
@@ -294,6 +294,7 @@ impl PaintEncode for Paint {
         match self {
             Self::Solid(c) => c.set_as_fill(ctx, on_text, transforms),
             Self::Gradient(gradient) => gradient.set_as_fill(ctx, on_text, transforms),
+            Self::Pattern(pattern) => pattern.set_as_fill(ctx, on_text, transforms),
         }
     }
 
@@ -301,6 +302,7 @@ impl PaintEncode for Paint {
         match self {
             Self::Solid(c) => c.set_as_stroke(ctx, transforms),
             Self::Gradient(gradient) => gradient.set_as_stroke(ctx, transforms),
+            Self::Pattern(pattern) => pattern.set_as_stroke(ctx, transforms),
         }
     }
 }
diff --git a/crates/typst-pdf/src/gradient.rs b/crates/typst-pdf/src/gradient.rs
index 5e7e5f3d9..b12ac53fa 100644
--- a/crates/typst-pdf/src/gradient.rs
+++ b/crates/typst-pdf/src/gradient.rs
@@ -1,19 +1,19 @@
 use std::f32::consts::{PI, TAU};
 use std::sync::Arc;
 
-use ecow::{eco_format, EcoString};
+use ecow::eco_format;
 use pdf_writer::types::{ColorSpaceOperand, FunctionShadingType};
 use pdf_writer::writers::StreamShadingType;
 use pdf_writer::{Filter, Finish, Name, Ref};
 use typst::layout::{Abs, Angle, Point, Quadrant, Ratio, Transform};
 use typst::util::Numeric;
 use typst::visualize::{
-    Color, ColorSpace, ConicGradient, Gradient, GradientRelative, WeightedColor,
+    Color, ColorSpace, ConicGradient, Gradient, RelativeTo, WeightedColor,
 };
 
 use crate::color::{ColorSpaceExt, PaintEncode, QuantizedColor};
-use crate::page::{PageContext, Transforms};
-use crate::{deflate, AbsExt, PdfContext};
+use crate::page::{PageContext, PageResource, ResourceKind, Transforms};
+use crate::{deflate, transform_to_array, AbsExt, PdfContext};
 
 /// A unique-transform-aspect-ratio combination that will be encoded into the
 /// PDF.
@@ -268,21 +268,27 @@ impl PaintEncode for Gradient {
     fn set_as_fill(&self, ctx: &mut PageContext, on_text: bool, transforms: Transforms) {
         ctx.reset_fill_color_space();
 
-        let id = register_gradient(ctx, self, on_text, transforms);
+        let index = register_gradient(ctx, self, on_text, transforms);
+        let id = eco_format!("Gr{index}");
         let name = Name(id.as_bytes());
 
         ctx.content.set_fill_color_space(ColorSpaceOperand::Pattern);
         ctx.content.set_fill_pattern(None, name);
+        ctx.resources
+            .insert(PageResource::new(ResourceKind::Gradient, id), index);
     }
 
     fn set_as_stroke(&self, ctx: &mut PageContext, transforms: Transforms) {
         ctx.reset_stroke_color_space();
 
-        let id = register_gradient(ctx, self, false, transforms);
+        let index = register_gradient(ctx, self, false, transforms);
+        let id = eco_format!("Gr{index}");
         let name = Name(id.as_bytes());
 
         ctx.content.set_stroke_color_space(ColorSpaceOperand::Pattern);
         ctx.content.set_stroke_pattern(None, name);
+        ctx.resources
+            .insert(PageResource::new(ResourceKind::Gradient, id), index);
     }
 }
 
@@ -292,7 +298,7 @@ fn register_gradient(
     gradient: &Gradient,
     on_text: bool,
     mut transforms: Transforms,
-) -> EcoString {
+) -> usize {
     // Edge cases for strokes.
     if transforms.size.x.is_zero() {
         transforms.size.x = Abs::pt(1.0);
@@ -302,8 +308,8 @@ fn register_gradient(
         transforms.size.y = Abs::pt(1.0);
     }
     let size = match gradient.unwrap_relative(on_text) {
-        GradientRelative::Self_ => transforms.size,
-        GradientRelative::Parent => transforms.container_size,
+        RelativeTo::Self_ => transforms.size,
+        RelativeTo::Parent => transforms.container_size,
     };
 
     let (offset_x, offset_y) = match gradient {
@@ -317,8 +323,8 @@ fn register_gradient(
     let rotation = gradient.angle().unwrap_or_else(Angle::zero);
 
     let transform = match gradient.unwrap_relative(on_text) {
-        GradientRelative::Self_ => transforms.transform,
-        GradientRelative::Parent => transforms.container_transform,
+        RelativeTo::Self_ => transforms.transform,
+        RelativeTo::Parent => transforms.container_transform,
     };
 
     let scale_offset = match gradient {
@@ -341,20 +347,7 @@ fn register_gradient(
         angle: Gradient::correct_aspect_ratio(rotation, size.aspect_ratio()),
     };
 
-    let index = ctx.parent.gradient_map.insert(pdf_gradient);
-    eco_format!("Gr{}", index)
-}
-
-/// Convert to an array of floats.
-fn transform_to_array(ts: Transform) -> [f32; 6] {
-    [
-        ts.sx.get() as f32,
-        ts.ky.get() as f32,
-        ts.kx.get() as f32,
-        ts.sy.get() as f32,
-        ts.tx.to_f32(),
-        ts.ty.to_f32(),
-    ]
+    ctx.parent.gradient_map.insert(pdf_gradient)
 }
 
 /// Writes a single Coons Patch as defined in the PDF specification
diff --git a/crates/typst-pdf/src/lib.rs b/crates/typst-pdf/src/lib.rs
index c753315c6..005b5a9e0 100644
--- a/crates/typst-pdf/src/lib.rs
+++ b/crates/typst-pdf/src/lib.rs
@@ -7,10 +7,12 @@ mod gradient;
 mod image;
 mod outline;
 mod page;
+mod pattern;
 
 use std::cmp::Eq;
 use std::collections::{BTreeMap, HashMap};
 use std::hash::Hash;
+use std::sync::Arc;
 
 use base64::Engine;
 use ecow::{eco_format, EcoString};
@@ -18,7 +20,7 @@ use pdf_writer::types::Direction;
 use pdf_writer::{Finish, Name, Pdf, Ref, TextStr};
 use typst::foundations::Datetime;
 use typst::introspection::Introspector;
-use typst::layout::{Abs, Dir, Em};
+use typst::layout::{Abs, Dir, Em, Transform};
 use typst::model::Document;
 use typst::text::{Font, Lang};
 use typst::util::Deferred;
@@ -30,6 +32,7 @@ use crate::extg::ExtGState;
 use crate::gradient::PdfGradient;
 use crate::image::EncodedImage;
 use crate::page::Page;
+use crate::pattern::PdfPattern;
 
 /// Export a document into a PDF file.
 ///
@@ -57,6 +60,7 @@ pub fn pdf(
     image::write_images(&mut ctx);
     gradient::write_gradients(&mut ctx);
     extg::write_external_graphics_states(&mut ctx);
+    pattern::write_patterns(&mut ctx);
     page::write_page_tree(&mut ctx);
     write_catalog(&mut ctx, ident, timestamp);
     ctx.pdf.finish()
@@ -97,6 +101,8 @@ struct PdfContext<'a> {
     image_refs: Vec<Ref>,
     /// The IDs of written gradients.
     gradient_refs: Vec<Ref>,
+    /// The IDs of written patterns.
+    pattern_refs: Vec<Ref>,
     /// The IDs of written external graphics states.
     ext_gs_refs: Vec<Ref>,
     /// Handles color space writing.
@@ -110,6 +116,8 @@ struct PdfContext<'a> {
     image_deferred_map: HashMap<usize, Deferred<EncodedImage>>,
     /// Deduplicates gradients used across the document.
     gradient_map: Remapper<PdfGradient>,
+    /// Deduplicates patterns used across the document.
+    pattern_map: Remapper<PdfPattern>,
     /// Deduplicates external graphics states used across the document.
     extg_map: Remapper<ExtGState>,
 }
@@ -131,12 +139,14 @@ impl<'a> PdfContext<'a> {
             font_refs: vec![],
             image_refs: vec![],
             gradient_refs: vec![],
+            pattern_refs: vec![],
             ext_gs_refs: vec![],
             colors: ColorSpaces::default(),
             font_map: Remapper::new(),
             image_map: Remapper::new(),
             image_deferred_map: HashMap::default(),
             gradient_map: Remapper::new(),
+            pattern_map: Remapper::new(),
             extg_map: Remapper::new(),
         }
     }
@@ -263,6 +273,12 @@ fn deflate(data: &[u8]) -> Vec<u8> {
     miniz_oxide::deflate::compress_to_vec_zlib(data, COMPRESSION_LEVEL)
 }
 
+/// Memoized version of [`deflate`] specialized for a page's content stream.
+#[comemo::memoize]
+fn deflate_memoized(content: &[u8]) -> Arc<Vec<u8>> {
+    Arc::new(deflate(content))
+}
+
 /// Create a base64-encoded hash of the value.
 fn hash_base64<T: Hash>(value: &T) -> String {
     base64::engine::general_purpose::STANDARD
@@ -341,10 +357,6 @@ where
         })
     }
 
-    fn map(&self, item: &T) -> usize {
-        self.to_pdf[item]
-    }
-
     fn pdf_indices<'a>(
         &'a self,
         refs: &'a [Ref],
@@ -380,3 +392,15 @@ impl EmExt for Em {
         1000.0 * self.get() as f32
     }
 }
+
+/// Convert to an array of floats.
+fn transform_to_array(ts: Transform) -> [f32; 6] {
+    [
+        ts.sx.get() as f32,
+        ts.ky.get() as f32,
+        ts.kx.get() as f32,
+        ts.sy.get() as f32,
+        ts.tx.to_f32(),
+        ts.ty.to_f32(),
+    ]
+}
diff --git a/crates/typst-pdf/src/page.rs b/crates/typst-pdf/src/page.rs
index 545380dac..1bbef7af6 100644
--- a/crates/typst-pdf/src/page.rs
+++ b/crates/typst-pdf/src/page.rs
@@ -1,7 +1,7 @@
+use std::collections::HashMap;
 use std::num::NonZeroUsize;
-use std::sync::Arc;
 
-use ecow::eco_format;
+use ecow::{eco_format, EcoString};
 use pdf_writer::types::{
     ActionType, AnnotationType, ColorSpaceOperand, LineCapStyle, LineJoinStyle,
     NumberingStyle,
@@ -23,21 +23,22 @@ use typst::visualize::{
 use crate::color::PaintEncode;
 use crate::extg::ExtGState;
 use crate::image::deferred_image;
-use crate::{deflate, AbsExt, EmExt, PdfContext};
+use crate::{deflate_memoized, AbsExt, EmExt, PdfContext};
 
 /// Construct page objects.
 #[tracing::instrument(skip_all)]
 pub(crate) fn construct_pages(ctx: &mut PdfContext, frames: &[Frame]) {
     for frame in frames {
-        construct_page(ctx, frame);
+        let (page_ref, page) = construct_page(ctx, frame);
+        ctx.page_refs.push(page_ref);
+        ctx.pages.push(page);
     }
 }
 
 /// Construct a page object.
 #[tracing::instrument(skip_all)]
-pub(crate) fn construct_page(ctx: &mut PdfContext, frame: &Frame) {
+pub(crate) fn construct_page(ctx: &mut PdfContext, frame: &Frame) -> (Ref, Page) {
     let page_ref = ctx.alloc.bump();
-    ctx.page_refs.push(page_ref);
 
     let mut ctx = PageContext {
         parent: ctx,
@@ -49,6 +50,7 @@ pub(crate) fn construct_page(ctx: &mut PdfContext, frame: &Frame) {
         saves: vec![],
         bottom: 0.0,
         links: vec![],
+        resources: HashMap::default(),
     };
 
     let size = frame.size();
@@ -74,9 +76,10 @@ pub(crate) fn construct_page(ctx: &mut PdfContext, frame: &Frame) {
         uses_opacities: ctx.uses_opacities,
         links: ctx.links,
         label: ctx.label,
+        resources: ctx.resources,
     };
 
-    ctx.parent.pages.push(page);
+    (page_ref, page)
 }
 
 /// Write the page tree.
@@ -117,6 +120,11 @@ pub(crate) fn write_page_tree(ctx: &mut PdfContext) {
         patterns.pair(Name(name.as_bytes()), gradient_ref);
     }
 
+    for (pattern_ref, p) in ctx.pattern_map.pdf_indices(&ctx.pattern_refs) {
+        let name = eco_format!("P{}", p);
+        patterns.pair(Name(name.as_bytes()), pattern_ref);
+    }
+
     patterns.finish();
 
     let mut ext_gs_states = resources.ext_g_states();
@@ -190,7 +198,7 @@ fn write_page(ctx: &mut PdfContext, i: usize) {
     annotations.finish();
     page_writer.finish();
 
-    let data = deflate_content(&page.content);
+    let data = deflate_memoized(&page.content);
     ctx.pdf.stream(content_id, &data).filter(Filter::FlateDecode);
 }
 
@@ -243,12 +251,6 @@ pub(crate) fn write_page_labels(ctx: &mut PdfContext) -> Vec<(NonZeroUsize, Ref)
     result
 }
 
-/// Memoized version of [`deflate`] specialized for a page's content stream.
-#[comemo::memoize]
-fn deflate_content(content: &[u8]) -> Arc<Vec<u8>> {
-    Arc::new(deflate(content))
-}
-
 /// Data for an exported page.
 pub struct Page {
     /// The indirect object id of the page.
@@ -263,6 +265,63 @@ pub struct Page {
     pub links: Vec<(Destination, Rect)>,
     /// The page's PDF label.
     pub label: Option<PdfPageLabel>,
+    /// The page's used resources
+    pub resources: HashMap<PageResource, usize>,
+}
+
+/// Represents a resource being used in a PDF page by its name.
+#[derive(Debug, Clone, PartialEq, Eq, Hash)]
+pub struct PageResource {
+    kind: ResourceKind,
+    name: EcoString,
+}
+
+impl PageResource {
+    pub fn new(kind: ResourceKind, name: EcoString) -> Self {
+        Self { kind, name }
+    }
+}
+
+/// A kind of resource being used in a PDF page.
+#[derive(Debug, Clone, PartialEq, Eq, Hash)]
+pub enum ResourceKind {
+    XObject,
+    Font,
+    Gradient,
+    Pattern,
+    ExtGState,
+}
+
+impl PageResource {
+    /// Returns the name of the resource.
+    pub fn name(&self) -> Name<'_> {
+        Name(self.name.as_bytes())
+    }
+
+    /// Returns whether the resource is an XObject.
+    pub fn is_x_object(&self) -> bool {
+        matches!(self.kind, ResourceKind::XObject)
+    }
+
+    /// Returns whether the resource is a font.
+    pub fn is_font(&self) -> bool {
+        matches!(self.kind, ResourceKind::Font)
+    }
+
+    /// Returns whether the resource is a gradient.
+    pub fn is_gradient(&self) -> bool {
+        matches!(self.kind, ResourceKind::Gradient)
+    }
+
+    /// Returns whether the resource is a pattern.
+    pub fn is_pattern(&self) -> bool {
+        matches!(self.kind, ResourceKind::Pattern)
+    }
+
+    /// Returns whether the resource is an external graphics state.
+    pub fn is_ext_g_state(&self) -> bool {
+        matches!(self.kind, ResourceKind::ExtGState)
+    }
 }
 
 /// An exporter for the contents of a single PDF page.
@@ -276,6 +335,8 @@ pub struct PageContext<'a, 'b> {
     bottom: f32,
     uses_opacities: bool,
     links: Vec<(Destination, Rect)>,
+    /// Keep track of the resources being used in the page.
+    pub resources: HashMap<PageResource, usize>,
 }
 
 /// A simulated graphics state used to deduplicate graphics state changes and
@@ -350,9 +411,11 @@ impl PageContext<'_, '_> {
     fn set_external_graphics_state(&mut self, graphics_state: &ExtGState) {
         let current_state = self.state.external_graphics_state.as_ref();
         if current_state != Some(graphics_state) {
-            self.parent.extg_map.insert(*graphics_state);
-            let name = eco_format!("Gs{}", self.parent.extg_map.map(graphics_state));
+            let index = self.parent.extg_map.insert(*graphics_state);
+            let name = eco_format!("Gs{index}");
             self.content.set_parameters(Name(name.as_bytes()));
+            self.resources
+                .insert(PageResource::new(ResourceKind::ExtGState, name), index);
 
             if graphics_state.uses_opacities() {
                 self.uses_opacities = true;
@@ -365,7 +428,7 @@ impl PageContext<'_, '_> {
             .map(|stroke| {
                 let color = match &stroke.paint {
                     Paint::Solid(color) => *color,
-                    Paint::Gradient(_) => return 255,
+                    Paint::Gradient(_) | Paint::Pattern(_) => return 255,
                 };
 
                 color.alpha().map_or(255, |v| (v * 255.0).round() as u8)
@@ -375,7 +438,7 @@ impl PageContext<'_, '_> {
             .map(|paint| {
                 let color = match paint {
                     Paint::Solid(color) => *color,
-                    Paint::Gradient(_) => return 255,
+                    Paint::Gradient(_) | Paint::Pattern(_) => return 255,
                 };
 
                 color.alpha().map_or(255, |v| (v * 255.0).round() as u8)
@@ -407,9 +470,11 @@ impl PageContext<'_, '_> {
 
     fn set_font(&mut self, font: &Font, size: Abs) {
         if self.state.font.as_ref().map(|(f, s)| (f, *s)) != Some((font, size)) {
-            self.parent.font_map.insert(font.clone());
-            let name = eco_format!("F{}", self.parent.font_map.map(font));
+            let index = self.parent.font_map.insert(font.clone());
+            let name = eco_format!("F{index}");
             self.content.set_font(Name(name.as_bytes()), size.to_f32());
+            self.resources
+                .insert(PageResource::new(ResourceKind::Font, name), index);
             self.state.font = Some((font.clone(), size));
         }
     }
@@ -681,13 +746,13 @@ fn write_path(ctx: &mut PageContext, x: f32, y: f32, path: &Path) {
 
 /// Encode a vector or raster image into the content stream.
 fn write_image(ctx: &mut PageContext, x: f32, y: f32, image: &Image, size: Size) {
-    let idx = ctx.parent.image_map.insert(image.clone());
+    let index = ctx.parent.image_map.insert(image.clone());
     ctx.parent
         .image_deferred_map
-        .entry(idx)
+        .entry(index)
         .or_insert_with(|| deferred_image(image.clone()));
 
-    let name = eco_format!("Im{idx}");
+    let name = eco_format!("Im{index}");
     let w = size.x.to_f32();
     let h = size.y.to_f32();
     ctx.content.save_state();
@@ -707,6 +772,8 @@ fn write_image(ctx: &mut PageContext, x: f32, y: f32, image: &Image, size: Size)
         ctx.content.x_object(Name(name.as_bytes()));
     }
 
+    ctx.resources
+        .insert(PageResource::new(ResourceKind::XObject, name.clone()), index);
     ctx.content.restore_state();
 }
 
diff --git a/crates/typst-pdf/src/pattern.rs b/crates/typst-pdf/src/pattern.rs
new file mode 100644
index 000000000..7b9e27192
--- /dev/null
+++ b/crates/typst-pdf/src/pattern.rs
@@ -0,0 +1,154 @@
+use ecow::eco_format;
+use pdf_writer::types::{ColorSpaceOperand, PaintType, TilingType};
+use pdf_writer::{Filter, Finish, Name, Rect};
+use typst::layout::{Abs, Transform};
+use typst::util::Numeric;
+use typst::visualize::{Pattern, RelativeTo};
+
+use crate::color::PaintEncode;
+use crate::page::{construct_page, PageContext, PageResource, ResourceKind, Transforms};
+use crate::{deflate_memoized, transform_to_array, PdfContext};
+
+/// Writes the actual patterns (tiling patterns) to the PDF.
+/// This is performed once after writing all pages.
+pub(crate) fn write_patterns(ctx: &mut PdfContext) {
+    for PdfPattern { transform, pattern, content, resources } in ctx.pattern_map.items() {
+        let tiling = ctx.alloc.bump();
+        ctx.pattern_refs.push(tiling);
+
+        let content = deflate_memoized(content);
+        let mut tiling_pattern = ctx.pdf.tiling_pattern(tiling, &content);
+        tiling_pattern
+            .tiling_type(TilingType::ConstantSpacing)
+            .paint_type(PaintType::Colored)
+            .bbox(Rect::new(
+                0.0,
+                0.0,
+                pattern.size_abs().x.to_pt() as _,
+                pattern.size_abs().y.to_pt() as _,
+            ))
+            .x_step((pattern.size_abs().x + pattern.spacing_abs().x).to_pt() as _)
+            .y_step((pattern.size_abs().y + pattern.spacing_abs().y).to_pt() as _);
+
+        let mut resources_map = tiling_pattern.resources();
+
+        resources_map.x_objects().pairs(
+            resources
+                .iter()
+                .filter(|(res, _)| res.is_x_object())
+                .map(|(res, ref_)| (res.name(), ctx.image_refs[*ref_])),
+        );
+
+        resources_map.fonts().pairs(
+            resources
+                .iter()
+                .filter(|(res, _)| res.is_font())
+                .map(|(res, ref_)| (res.name(), ctx.font_refs[*ref_])),
+        );
+
+        ctx.colors
+            .write_color_spaces(resources_map.color_spaces(), &mut ctx.alloc);
+
+        resources_map
+            .patterns()
+            .pairs(
+                resources
+                    .iter()
+                    .filter(|(res, _)| res.is_pattern())
+                    .map(|(res, ref_)| (res.name(), ctx.pattern_refs[*ref_])),
+            )
+            .pairs(
+                resources
+                    .iter()
+                    .filter(|(res, _)| res.is_gradient())
+                    .map(|(res, ref_)| (res.name(), ctx.gradient_refs[*ref_])),
+            );
+
+        resources_map.ext_g_states().pairs(
+            resources
+                .iter()
+                .filter(|(res, _)| res.is_ext_g_state())
+                .map(|(res, ref_)| (res.name(), ctx.ext_gs_refs[*ref_])),
+        );
+
+        resources_map.finish();
+        tiling_pattern
+            .matrix(transform_to_array(*transform))
+            .filter(Filter::FlateDecode);
+    }
+}
+
+/// A pattern and its transform.
+#[derive(Debug, Clone, PartialEq, Eq, Hash)]
+pub struct PdfPattern {
+    /// The transform to apply to the gradient.
+    pub transform: Transform,
+    /// The pattern to paint.
+    pub pattern: Pattern,
+    /// The rendered pattern.
+    pub content: Vec<u8>,
+    /// The resources used by the pattern.
+    pub resources: Vec<(PageResource, usize)>,
+}
+
+/// Registers a pattern with the PDF.
+fn register_pattern(
+    ctx: &mut PageContext,
+    pattern: &Pattern,
+    on_text: bool,
+    mut transforms: Transforms,
+) -> usize {
+    // Edge cases for strokes.
+    if transforms.size.x.is_zero() {
+        transforms.size.x = Abs::pt(1.0);
+    }
+
+    if transforms.size.y.is_zero() {
+        transforms.size.y = Abs::pt(1.0);
+    }
+
+    let transform = match pattern.unwrap_relative(on_text) {
+        RelativeTo::Self_ => transforms.transform,
+        RelativeTo::Parent => transforms.container_transform,
+    };
+
+    // Render the body.
+    let (_, content) = construct_page(ctx.parent, pattern.frame());
+
+    let pdf_pattern = PdfPattern {
+        transform,
+        pattern: pattern.clone(),
+        content: content.content,
+        resources: content.resources.into_iter().collect(),
+    };
+
+    ctx.parent.pattern_map.insert(pdf_pattern)
+}
+
+impl PaintEncode for Pattern {
+    fn set_as_fill(&self, ctx: &mut PageContext, on_text: bool, transforms: Transforms) {
+        ctx.reset_fill_color_space();
+
+        let index = register_pattern(ctx, self, on_text, transforms);
+        let id = eco_format!("P{index}");
+        let name = Name(id.as_bytes());
+
+        ctx.content.set_fill_color_space(ColorSpaceOperand::Pattern);
+        ctx.content.set_fill_pattern(None, name);
+        ctx.resources
+            .insert(PageResource::new(ResourceKind::Pattern, id), index);
+    }
+
+    fn set_as_stroke(&self, ctx: &mut PageContext, transforms: Transforms) {
+        ctx.reset_stroke_color_space();
+
+        let index = register_pattern(ctx, self, false, transforms);
+        let id = eco_format!("P{index}");
+        let name = Name(id.as_bytes());
+
+        ctx.content.set_stroke_color_space(ColorSpaceOperand::Pattern);
+        ctx.content.set_stroke_pattern(None, name);
+        ctx.resources
+            .insert(PageResource::new(ResourceKind::Pattern, id), index);
+    }
+}
diff --git a/crates/typst-render/src/lib.rs b/crates/typst-render/src/lib.rs
index 251f647a1..5c1b8482e 100644
--- a/crates/typst-render/src/lib.rs
+++ b/crates/typst-render/src/lib.rs
@@ -15,8 +15,8 @@ use typst::layout::{
 };
 use typst::text::{Font, TextItem};
 use typst::visualize::{
-    Color, FixedStroke, Geometry, Gradient, GradientRelative, Image, ImageKind, LineCap,
-    LineJoin, Paint, Path, PathItem, RasterFormat, Shape,
+    Color, FixedStroke, Geometry, Gradient, Image, ImageKind, LineCap, LineJoin, Paint,
+    Path, PathItem, Pattern, RasterFormat, RelativeTo, Shape,
 };
 use usvg::{NodeExt, TreeParsing};
 
@@ -433,7 +433,17 @@ fn render_outline_glyph(
             write_bitmap(canvas, &bitmap, &state, sampler)?;
         }
         Paint::Solid(color) => {
-            write_bitmap(canvas, &bitmap, &state, *color)?;
+            write_bitmap(
+                canvas,
+                &bitmap,
+                &state,
+                to_sk_color_u8_without_alpha(*color).premultiply(),
+            )?;
+        }
+        Paint::Pattern(pattern) => {
+            let pixmap = render_pattern_frame(&state, pattern);
+            let sampler = PatternSampler::new(pattern, &pixmap, &state, true);
+            write_bitmap(canvas, &bitmap, &state, sampler)?;
         }
     }
 
@@ -458,7 +468,7 @@ fn write_bitmap<S: PaintSampler>(
         for x in 0..mw {
             for y in 0..mh {
                 let alpha = bitmap.coverage[(y * mw + x) as usize];
-                let color = to_sk_color_u8_without_alpha(sampler.sample((x, y)));
+                let color = sampler.sample((x, y));
                 pixmap.pixels_mut()[((y + 1) * (mw + 2) + (x + 1)) as usize] =
                     sk::ColorU8::from_rgba(
                         color.red(),
@@ -504,8 +514,7 @@ fn write_bitmap<S: PaintSampler>(
                 }
 
                 let color = sampler.sample((x as _, y as _));
-                let color =
-                    bytemuck::cast(to_sk_color_u8_without_alpha(color).premultiply());
+                let color = bytemuck::cast(color);
                 let pi = (y * cw + x) as usize;
                 if cov == 255 {
                     pixels[pi] = color;
@@ -746,11 +755,22 @@ fn scaled_texture(image: &Image, w: u32, h: u32) -> Option<Arc<sk::Pixmap>> {
 /// abstraction over solid colors and gradients.
 trait PaintSampler: Copy {
     /// Sample the color at the `pos` in the pixmap.
-    fn sample(self, pos: (u32, u32)) -> Color;
+    fn sample(self, pos: (u32, u32)) -> sk::PremultipliedColorU8;
+
+    /// Write the sampler to a pixmap.
+    fn write_to_pixmap(self, canvas: &mut sk::Pixmap) {
+        let width = canvas.width();
+        for x in 0..canvas.width() {
+            for y in 0..canvas.height() {
+                let color = self.sample((x, y));
+                canvas.pixels_mut()[(y * width + x) as usize] = color;
+            }
+        }
+    }
 }
 
-impl PaintSampler for Color {
-    fn sample(self, _: (u32, u32)) -> Color {
+impl PaintSampler for sk::PremultipliedColorU8 {
+    fn sample(self, _: (u32, u32)) -> sk::PremultipliedColorU8 {
         self
     }
 }
@@ -775,13 +795,13 @@ impl<'a> GradientSampler<'a> {
     ) -> Self {
         let relative = gradient.unwrap_relative(on_text);
         let container_size = match relative {
-            GradientRelative::Self_ => item_size,
-            GradientRelative::Parent => state.size,
+            RelativeTo::Self_ => item_size,
+            RelativeTo::Parent => state.size,
         };
 
         let fill_transform = match relative {
-            GradientRelative::Self_ => sk::Transform::identity(),
-            GradientRelative::Parent => state.container_transform.invert().unwrap(),
+            RelativeTo::Self_ => sk::Transform::identity(),
+            RelativeTo::Parent => state.container_transform.invert().unwrap(),
         };
 
         Self {
@@ -794,16 +814,69 @@ impl<'a> GradientSampler<'a> {
 
 impl PaintSampler for GradientSampler<'_> {
     /// Samples a single point in a glyph.
-    fn sample(self, (x, y): (u32, u32)) -> Color {
+    fn sample(self, (x, y): (u32, u32)) -> sk::PremultipliedColorU8 {
         // Compute the point in the gradient's coordinate space.
         let mut point = sk::Point { x: x as f32, y: y as f32 };
         self.transform_to_parent.map_point(&mut point);
 
         // Sample the gradient
-        self.gradient.sample_at(
+        to_sk_color_u8_without_alpha(self.gradient.sample_at(
             (point.x, point.y),
             (self.container_size.x.to_f32(), self.container_size.y.to_f32()),
-        )
+        ))
+        .premultiply()
+    }
+}
+
+/// State used when sampling patterns for text.
+///
+/// It caches the inverse transform to the parent, so that we can
+/// reuse it instead of recomputing it for each pixel.
+#[derive(Clone, Copy)]
+struct PatternSampler<'a> {
+    size: Size,
+    transform_to_parent: sk::Transform,
+    pixmap: &'a sk::Pixmap,
+    pixel_per_pt: f32,
+}
+
+impl<'a> PatternSampler<'a> {
+    fn new(
+        pattern: &'a Pattern,
+        pixmap: &'a sk::Pixmap,
+        state: &State,
+        on_text: bool,
+    ) -> Self {
+        let relative = pattern.unwrap_relative(on_text);
+        let fill_transform = match relative {
+            RelativeTo::Self_ => sk::Transform::identity(),
+            RelativeTo::Parent => state.container_transform.invert().unwrap(),
+        };
+
+        Self {
+            pixmap,
+            size: (pattern.size_abs() + pattern.spacing_abs())
+                * state.pixel_per_pt as f64,
+            transform_to_parent: fill_transform,
+            pixel_per_pt: state.pixel_per_pt,
+        }
+    }
+}
+
+impl PaintSampler for PatternSampler<'_> {
+    /// Samples a single point in a glyph.
+    fn sample(self, (x, y): (u32, u32)) -> sk::PremultipliedColorU8 {
+        // Compute the point in the pattern's coordinate space.
+        let mut point = sk::Point { x: x as f32, y: y as f32 };
+        self.transform_to_parent.map_point(&mut point);
+
+        let x =
+            (point.x * self.pixel_per_pt).rem_euclid(self.size.x.to_f32()).floor() as u32;
+        let y =
+            (point.y * self.pixel_per_pt).rem_euclid(self.size.y.to_f32()).floor() as u32;
+
+        // Sample the pattern
+        self.pixmap.pixel(x, y).unwrap()
     }
 }
 
@@ -859,13 +932,13 @@ fn to_sk_paint<'a>(
         Paint::Gradient(gradient) => {
             let relative = gradient.unwrap_relative(on_text);
             let container_size = match relative {
-                GradientRelative::Self_ => item_size,
-                GradientRelative::Parent => state.size,
+                RelativeTo::Self_ => item_size,
+                RelativeTo::Parent => state.size,
             };
 
             let fill_transform = match relative {
-                GradientRelative::Self_ => fill_transform.unwrap_or_default(),
-                GradientRelative::Parent => state
+                RelativeTo::Self_ => fill_transform.unwrap_or_default(),
+                RelativeTo::Parent => state
                     .container_transform
                     .post_concat(state.transform.invert().unwrap()),
             };
@@ -892,11 +965,49 @@ fn to_sk_paint<'a>(
 
             sk_paint.anti_alias = gradient.anti_alias();
         }
+        Paint::Pattern(pattern) => {
+            let relative = pattern.unwrap_relative(on_text);
+
+            let fill_transform = match relative {
+                RelativeTo::Self_ => fill_transform.unwrap_or_default(),
+                RelativeTo::Parent => state
+                    .container_transform
+                    .post_concat(state.transform.invert().unwrap()),
+            };
+
+            let canvas = render_pattern_frame(&state, pattern);
+            *pixmap = Some(Arc::new(canvas));
+
+            // Create the shader
+            sk_paint.shader = sk::Pattern::new(
+                pixmap.as_ref().unwrap().as_ref().as_ref(),
+                sk::SpreadMode::Repeat,
+                sk::FilterQuality::Nearest,
+                1.0,
+                fill_transform
+                    .pre_scale(1.0 / state.pixel_per_pt, 1.0 / state.pixel_per_pt),
+            );
+        }
     }
 
     sk_paint
 }
 
+fn render_pattern_frame(state: &State, pattern: &Pattern) -> sk::Pixmap {
+    let size = pattern.size_abs() + pattern.spacing_abs();
+    let mut canvas = sk::Pixmap::new(
+        (size.x.to_f32() * state.pixel_per_pt).round() as u32,
+        (size.y.to_f32() * state.pixel_per_pt).round() as u32,
+    )
+    .unwrap();
+
+    // Render the pattern into a new canvas.
+    let ts = sk::Transform::from_scale(state.pixel_per_pt, state.pixel_per_pt);
+    let temp_state = State::new(pattern.size_abs(), ts, state.pixel_per_pt);
+    render_frame(&mut canvas, temp_state, pattern.frame());
+    canvas
+}
+
 fn to_sk_color(color: Color) -> sk::Color {
     let [r, g, b, a] = color.to_rgb().to_vec4_u8();
     sk::Color::from_rgba8(r, g, b, a)
diff --git a/crates/typst-svg/src/lib.rs b/crates/typst-svg/src/lib.rs
index 7d3a773d8..205cff148 100644
--- a/crates/typst-svg/src/lib.rs
+++ b/crates/typst-svg/src/lib.rs
@@ -14,9 +14,8 @@ use typst::layout::{
 use typst::text::{Font, TextItem};
 use typst::util::hash128;
 use typst::visualize::{
-    Color, FixedStroke, Geometry, Gradient, GradientRelative, Image, ImageFormat,
-    LineCap, LineJoin, Paint, Path, PathItem, RasterFormat, RatioOrAngle, Shape,
-    VectorFormat,
+    Color, FixedStroke, Geometry, Gradient, Image, ImageFormat, LineCap, LineJoin, Paint,
+    Path, PathItem, Pattern, RasterFormat, RatioOrAngle, RelativeTo, Shape, VectorFormat,
 };
 use xmlwriter::XmlWriter;
 
@@ -77,6 +76,12 @@ struct SVGRenderer {
     /// different transforms. Therefore this allows us to reuse the same gradient
     /// multiple times.
     gradient_refs: Deduplicator<GradientRef>,
+    /// Deduplicated patterns with transform matrices. They use a reference
+    /// (`href`) to a "source" pattern instead of being defined inline.
+    /// This saves a lot of space since patterns are often reused but with
+    /// different transforms. Therefore this allows us to reuse the same gradient
+    /// multiple times.
+    pattern_refs: Deduplicator<PatternRef>,
     /// These are the actual gradients being written in the SVG file.
     /// These gradients are deduplicated because they do not contain the transform
     /// matrix, allowing them to be reused across multiple invocations.
@@ -84,6 +89,12 @@ struct SVGRenderer {
     /// The `Ratio` is the aspect ratio of the gradient, this is used to correct
     /// the angle of the gradient.
     gradients: Deduplicator<(Gradient, Ratio)>,
+    /// These are the actual patterns being written in the SVG file.
+    /// These patterns are deduplicated because they do not contain the transform
+    /// matrix, allowing them to be reused across multiple invocations.
+    ///
+    /// The `String` is the rendered pattern frame.
+    patterns: Deduplicator<Pattern>,
     /// These are the gradients that compose a conic gradient.
     conic_subgradients: Deduplicator<SVGSubGradient>,
 }
@@ -141,6 +152,20 @@ struct GradientRef {
     transform: Transform,
 }
 
+/// A reference to a deduplicated pattern, with a transform matrix.
+///
+/// Allows patterns to be reused across multiple invocations,
+/// simply by changing the transform matrix.
+#[derive(Hash)]
+struct PatternRef {
+    /// The ID of the deduplicated gradient
+    id: Id,
+    /// The transform matrix to apply to the pattern.
+    transform: Transform,
+    /// The ratio of the size of the cell to the size of the filled area.
+    ratio: Axes<Ratio>,
+}
+
 /// A subgradient for conic gradients.
 #[derive(Hash)]
 struct SVGSubGradient {
@@ -199,6 +224,8 @@ impl SVGRenderer {
             gradient_refs: Deduplicator::new('g'),
             gradients: Deduplicator::new('f'),
             conic_subgradients: Deduplicator::new('s'),
+            pattern_refs: Deduplicator::new('p'),
+            patterns: Deduplicator::new('t'),
         }
     }
 
@@ -219,6 +246,20 @@ impl SVGRenderer {
         self.xml.write_attribute("xmlns:h5", "http://www.w3.org/1999/xhtml");
     }
 
+    /// Render a frame to a string.
+    fn render_pattern_frame(
+        &mut self,
+        state: State,
+        ts: Transform,
+        frame: &Frame,
+    ) -> String {
+        let mut xml = XmlWriter::new(xmlwriter::Options::default());
+        std::mem::swap(&mut self.xml, &mut xml);
+        self.render_frame(state, ts, frame);
+        std::mem::swap(&mut self.xml, &mut xml);
+        xml.end_document()
+    }
+
     /// Render a frame with the given transform.
     fn render_frame(&mut self, state: State, ts: Transform, frame: &Frame) {
         self.xml.start_element("g");
@@ -286,37 +327,27 @@ impl SVGRenderer {
     /// of them works, we will skip the text.
     fn render_text(&mut self, state: State, text: &TextItem) {
         let scale: f64 = text.size.to_pt() / text.font.units_per_em();
-        let inv_scale: f64 = text.font.units_per_em() / text.size.to_pt();
 
         self.xml.start_element("g");
         self.xml.write_attribute("class", "typst-text");
-        self.xml.write_attribute_fmt(
-            "transform",
-            format_args!("scale({} {})", scale, -scale),
-        );
+        self.xml.write_attribute("transform", "scale(1, -1)");
 
         let mut x: f64 = 0.0;
         for glyph in &text.glyphs {
             let id = GlyphId(glyph.id);
             let offset = x + glyph.x_offset.at(text.size).to_pt();
 
-            self.render_svg_glyph(text, id, offset, inv_scale)
-                .or_else(|| self.render_bitmap_glyph(text, id, offset, inv_scale))
+            self.render_svg_glyph(text, id, offset, scale)
+                .or_else(|| self.render_bitmap_glyph(text, id, offset))
                 .or_else(|| {
                     self.render_outline_glyph(
                         state
-                            .pre_concat(Transform::scale(
-                                Ratio::new(scale),
-                                Ratio::new(-scale),
-                            ))
-                            .pre_translate(Point::new(
-                                Abs::pt(offset / scale),
-                                Abs::zero(),
-                            )),
+                            .pre_concat(Transform::scale(Ratio::one(), -Ratio::one()))
+                            .pre_translate(Point::new(Abs::pt(offset), Abs::zero())),
                         text,
                         id,
                         offset,
-                        inv_scale,
+                        scale,
                     )
                 });
 
@@ -332,7 +363,7 @@ impl SVGRenderer {
         text: &TextItem,
         id: GlyphId,
         x_offset: f64,
-        inv_scale: f64,
+        scale: f64,
     ) -> Option<()> {
         let data_url = convert_svg_glyph_to_base64_url(&text.font, id)?;
         let upem = Abs::raw(text.font.units_per_em());
@@ -344,13 +375,12 @@ impl SVGRenderer {
             width: upem.to_pt(),
             height: upem.to_pt(),
             ts: Transform::translate(Abs::zero(), Abs::pt(-origin_ascender))
-                .post_concat(Transform::scale(Ratio::new(1.0), Ratio::new(-1.0))),
+                .post_concat(Transform::scale(Ratio::new(scale), Ratio::new(-scale))),
         });
 
         self.xml.start_element("use");
         self.xml.write_attribute_fmt("xlink:href", format_args!("#{id}"));
-        self.xml
-            .write_attribute_fmt("x", format_args!("{}", x_offset * inv_scale));
+        self.xml.write_attribute("x", &x_offset);
         self.xml.end_element();
 
         Some(())
@@ -362,7 +392,6 @@ impl SVGRenderer {
         text: &TextItem,
         id: GlyphId,
         x_offset: f64,
-        inv_scale: f64,
     ) -> Option<()> {
         let (image, bitmap_x_offset, bitmap_y_offset) =
             convert_bitmap_glyph_to_image(&text.font, id)?;
@@ -390,11 +419,7 @@ impl SVGRenderer {
         self.xml.write_attribute("x", &(x_offset / scale_factor));
         self.xml.write_attribute_fmt(
             "transform",
-            format_args!(
-                "scale({} -{})",
-                inv_scale * scale_factor,
-                inv_scale * scale_factor,
-            ),
+            format_args!("scale({scale_factor} -{scale_factor})",),
         );
         self.xml.end_element();
 
@@ -408,19 +433,23 @@ impl SVGRenderer {
         text: &TextItem,
         glyph_id: GlyphId,
         x_offset: f64,
-        inv_scale: f64,
+        scale: f64,
     ) -> Option<()> {
-        let path = convert_outline_glyph_to_path(&text.font, glyph_id)?;
-        let hash = hash128(&(&text.font, glyph_id));
+        let scale = Ratio::new(scale);
+        let path = convert_outline_glyph_to_path(&text.font, glyph_id, scale)?;
+        let hash = hash128(&(&text.font, glyph_id, scale));
         let id = self.glyphs.insert_with(hash, || RenderedGlyph::Path(path));
 
+        let glyph_size = text.font.ttf().glyph_bounding_box(glyph_id)?;
+        let width = glyph_size.width() as f64 * scale.get();
+        let height = glyph_size.height() as f64 * scale.get();
+
         self.xml.start_element("use");
         self.xml.write_attribute_fmt("xlink:href", format_args!("#{id}"));
-        self.xml
-            .write_attribute_fmt("x", format_args!("{}", x_offset * inv_scale));
+        self.xml.write_attribute_fmt("x", format_args!("{}", x_offset));
         self.write_fill(
             &text.fill,
-            state.size,
+            Size::new(Abs::pt(width), Abs::pt(height)),
             self.text_paint_transform(state, &text.fill),
         );
         self.xml.end_element();
@@ -429,17 +458,20 @@ impl SVGRenderer {
     }
 
     fn text_paint_transform(&self, state: State, paint: &Paint) -> Transform {
-        let Paint::Gradient(gradient) = paint else {
-            return Transform::identity();
-        };
-
-        match gradient.unwrap_relative(true) {
-            GradientRelative::Self_ => Transform::scale(Ratio::one(), Ratio::one()),
-            GradientRelative::Parent => Transform::scale(
-                Ratio::new(state.size.x.to_pt()),
-                Ratio::new(state.size.y.to_pt()),
-            )
-            .post_concat(state.transform.invert().unwrap()),
+        match paint {
+            Paint::Solid(_) => Transform::identity(),
+            Paint::Gradient(gradient) => match gradient.unwrap_relative(true) {
+                RelativeTo::Self_ => Transform::identity(),
+                RelativeTo::Parent => Transform::scale(
+                    Ratio::new(state.size.x.to_pt()),
+                    Ratio::new(state.size.y.to_pt()),
+                )
+                .post_concat(state.transform.invert().unwrap()),
+            },
+            Paint::Pattern(pattern) => match pattern.unwrap_relative(true) {
+                RelativeTo::Self_ => Transform::identity(),
+                RelativeTo::Parent => state.transform.invert().unwrap(),
+            },
         }
     }
 
@@ -490,16 +522,21 @@ impl SVGRenderer {
 
         if let Paint::Gradient(gradient) = paint {
             match gradient.unwrap_relative(false) {
-                GradientRelative::Self_ => Transform::scale(
+                RelativeTo::Self_ => Transform::scale(
                     Ratio::new(shape_size.x.to_pt()),
                     Ratio::new(shape_size.y.to_pt()),
                 ),
-                GradientRelative::Parent => Transform::scale(
+                RelativeTo::Parent => Transform::scale(
                     Ratio::new(state.size.x.to_pt()),
                     Ratio::new(state.size.y.to_pt()),
                 )
                 .post_concat(state.transform.invert().unwrap()),
             }
+        } else if let Paint::Pattern(pattern) = paint {
+            match pattern.unwrap_relative(false) {
+                RelativeTo::Self_ => Transform::identity(),
+                RelativeTo::Parent => state.transform.invert().unwrap(),
+            }
         } else {
             Transform::identity()
         }
@@ -519,8 +556,8 @@ impl SVGRenderer {
 
         if let Paint::Gradient(gradient) = paint {
             match gradient.unwrap_relative(false) {
-                GradientRelative::Self_ => shape_size,
-                GradientRelative::Parent => state.size,
+                RelativeTo::Self_ => shape_size,
+                RelativeTo::Parent => state.size,
             }
         } else {
             shape_size
@@ -535,6 +572,10 @@ impl SVGRenderer {
                 let id = self.push_gradient(gradient, size, ts);
                 self.xml.write_attribute_fmt("fill", format_args!("url(#{id})"));
             }
+            Paint::Pattern(pattern) => {
+                let id = self.push_pattern(pattern, size, ts);
+                self.xml.write_attribute_fmt("fill", format_args!("url(#{id})"));
+            }
         }
     }
 
@@ -564,6 +605,29 @@ impl SVGRenderer {
             })
     }
 
+    fn push_pattern(&mut self, pattern: &Pattern, size: Size, ts: Transform) -> Id {
+        let pattern_size = pattern.size_abs() + pattern.spacing_abs();
+        // Unfortunately due to a limitation of `xmlwriter`, we need to
+        // render the frame twice: once to allocate all of the resources
+        // that it needs and once to actually render it.
+        self.render_pattern_frame(
+            State::new(pattern_size, Transform::identity()),
+            Transform::identity(),
+            pattern.frame(),
+        );
+
+        let pattern_id = self.patterns.insert_with(hash128(pattern), || pattern.clone());
+        self.pattern_refs
+            .insert_with(hash128(&(pattern_id, ts)), || PatternRef {
+                id: pattern_id,
+                transform: ts,
+                ratio: Axes::new(
+                    Ratio::new(pattern_size.x.to_pt() / size.x.to_pt()),
+                    Ratio::new(pattern_size.y.to_pt() / size.y.to_pt()),
+                ),
+            })
+    }
+
     /// Write a stroke attribute.
     fn write_stroke(
         &mut self,
@@ -577,6 +641,10 @@ impl SVGRenderer {
                 let id = self.push_gradient(gradient, size, fill_transform);
                 self.xml.write_attribute_fmt("stroke", format_args!("url(#{id})"));
             }
+            Paint::Pattern(pattern) => {
+                let id = self.push_pattern(pattern, size, fill_transform);
+                self.xml.write_attribute_fmt("stroke", format_args!("url(#{id})"));
+            }
         }
 
         self.xml.write_attribute("stroke-width", &stroke.thickness.to_pt());
@@ -630,6 +698,8 @@ impl SVGRenderer {
         self.write_gradients();
         self.write_gradient_refs();
         self.write_subgradients();
+        self.write_patterns();
+        self.write_pattern_refs();
         self.xml.end_document()
     }
 
@@ -948,12 +1018,78 @@ impl SVGRenderer {
 
         self.xml.end_element();
     }
+
+    /// Write the raw gradients (without transform) to the SVG file.
+    fn write_patterns(&mut self) {
+        if self.patterns.is_empty() {
+            return;
+        }
+
+        self.xml.start_element("defs");
+        self.xml.write_attribute("id", "patterns");
+
+        for (id, pattern) in
+            self.patterns.iter().map(|(i, p)| (i, p.clone())).collect::<Vec<_>>()
+        {
+            let size = pattern.size_abs() + pattern.spacing_abs();
+            self.xml.start_element("pattern");
+            self.xml.write_attribute("id", &id);
+            self.xml.write_attribute("width", &size.x.to_pt());
+            self.xml.write_attribute("height", &size.y.to_pt());
+            self.xml.write_attribute("patternUnits", "userSpaceOnUse");
+            self.xml.write_attribute_fmt(
+                "viewBox",
+                format_args!("0 0 {:.3} {:.3}", size.x.to_pt(), size.y.to_pt()),
+            );
+
+            // Render the frame.
+            let state = State::new(size, Transform::identity());
+            let ts = Transform::identity();
+            self.render_frame(state, ts, pattern.frame());
+
+            self.xml.end_element();
+        }
+
+        self.xml.end_element()
+    }
+
+    /// Writes the references to the deduplicated patterns for each usage site.
+    fn write_pattern_refs(&mut self) {
+        if self.pattern_refs.is_empty() {
+            return;
+        }
+
+        self.xml.start_element("defs");
+        self.xml.write_attribute("id", "pattern-refs");
+        for (id, pattern_ref) in self.pattern_refs.iter() {
+            self.xml.start_element("pattern");
+            self.xml
+                .write_attribute("patternTransform", &SvgMatrix(pattern_ref.transform));
+
+            self.xml.write_attribute("id", &id);
+
+            // Writing the href attribute to the "reference" pattern.
+            self.xml
+                .write_attribute_fmt("href", format_args!("#{}", pattern_ref.id));
+
+            // Also writing the xlink:href attribute for compatibility.
+            self.xml
+                .write_attribute_fmt("xlink:href", format_args!("#{}", pattern_ref.id));
+            self.xml.end_element();
+        }
+
+        self.xml.end_element();
+    }
 }
 
 /// Convert an outline glyph to an SVG path.
 #[comemo::memoize]
-fn convert_outline_glyph_to_path(font: &Font, id: GlyphId) -> Option<EcoString> {
-    let mut builder = SvgPathBuilder::default();
+fn convert_outline_glyph_to_path(
+    font: &Font,
+    id: GlyphId,
+    scale: Ratio,
+) -> Option<EcoString> {
+    let mut builder = SvgPathBuilder::with_scale(scale);
     font.ttf().outline_glyph(id, &mut builder)?;
     Some(builder.0)
 }
@@ -1170,10 +1306,17 @@ impl Display for SvgMatrix {
 }
 
 /// A builder for SVG path.
-#[derive(Default)]
-struct SvgPathBuilder(pub EcoString);
+struct SvgPathBuilder(pub EcoString, pub Ratio);
 
 impl SvgPathBuilder {
+    fn with_scale(scale: Ratio) -> Self {
+        Self(EcoString::new(), scale)
+    }
+
+    fn scale(&self) -> f32 {
+        self.1.get() as f32
+    }
+
     /// Create a rectangle path. The rectangle is created with the top-left
     /// corner at (0, 0). The width and height are the size of the rectangle.
     fn rect(&mut self, width: f32, height: f32) {
@@ -1193,34 +1336,63 @@ impl SvgPathBuilder {
         sweep_flag: u32,
         pos: (f32, f32),
     ) {
+        let scale = self.scale();
         write!(
             &mut self.0,
             "A {rx} {ry} {x_axis_rot} {large_arc_flag} {sweep_flag} {x} {y} ",
-            rx = radius.0,
-            ry = radius.1,
-            x = pos.0,
-            y = pos.1,
+            rx = radius.0 * scale,
+            ry = radius.1 * scale,
+            x = pos.0 * scale,
+            y = pos.1 * scale,
         )
         .unwrap();
     }
 }
 
+impl Default for SvgPathBuilder {
+    fn default() -> Self {
+        Self(Default::default(), Ratio::one())
+    }
+}
+
 /// A builder for SVG path. This is used to build the path for a glyph.
 impl ttf_parser::OutlineBuilder for SvgPathBuilder {
     fn move_to(&mut self, x: f32, y: f32) {
-        write!(&mut self.0, "M {} {} ", x, y).unwrap();
+        let scale = self.scale();
+        write!(&mut self.0, "M {} {} ", x * scale, y * scale).unwrap();
     }
 
     fn line_to(&mut self, x: f32, y: f32) {
-        write!(&mut self.0, "L {} {} ", x, y).unwrap();
+        let scale = self.scale();
+        write!(&mut self.0, "L {} {} ", x * scale, y * scale).unwrap();
     }
 
     fn quad_to(&mut self, x1: f32, y1: f32, x: f32, y: f32) {
-        write!(&mut self.0, "Q {} {} {} {} ", x1, y1, x, y).unwrap();
+        let scale = self.scale();
+        write!(
+            &mut self.0,
+            "Q {} {} {} {} ",
+            x1 * scale,
+            y1 * scale,
+            x * scale,
+            y * scale
+        )
+        .unwrap();
     }
 
     fn curve_to(&mut self, x1: f32, y1: f32, x2: f32, y2: f32, x: f32, y: f32) {
-        write!(&mut self.0, "C {} {} {} {} {} {} ", x1, y1, x2, y2, x, y).unwrap();
+        let scale = self.scale();
+        write!(
+            &mut self.0,
+            "C {} {} {} {} {} {} ",
+            x1 * scale,
+            y1 * scale,
+            x2 * scale,
+            y2 * scale,
+            x * scale,
+            y * scale
+        )
+        .unwrap();
     }
 
     fn close(&mut self) {
diff --git a/crates/typst/src/eval/ops.rs b/crates/typst/src/eval/ops.rs
index 8f8e128a7..cb830614e 100644
--- a/crates/typst/src/eval/ops.rs
+++ b/crates/typst/src/eval/ops.rs
@@ -234,6 +234,15 @@ pub fn add(lhs: Value, rhs: Value) -> StrResult<Value> {
         }
         .into_value(),
 
+        (Pattern(pattern), Length(thickness)) | (Length(thickness), Pattern(pattern)) => {
+            Stroke {
+                paint: Smart::Custom(pattern.into()),
+                thickness: Smart::Custom(thickness),
+                ..Stroke::default()
+            }
+            .into_value()
+        }
+
         (Duration(a), Duration(b)) => Duration(a + b),
         (Datetime(a), Duration(b)) => Datetime(a + b),
         (Duration(a), Datetime(b)) => Datetime(b + a),
diff --git a/crates/typst/src/foundations/value.rs b/crates/typst/src/foundations/value.rs
index b3141a16c..a1660e85d 100644
--- a/crates/typst/src/foundations/value.rs
+++ b/crates/typst/src/foundations/value.rs
@@ -21,7 +21,7 @@ use crate::layout::{Abs, Angle, Em, Fr, Length, Ratio, Rel};
 use crate::symbols::Symbol;
 use crate::syntax::{ast, Span};
 use crate::text::{RawElem, TextElem};
-use crate::visualize::{Color, Gradient};
+use crate::visualize::{Color, Gradient, Pattern};
 
 /// A computational value.
 #[derive(Default, Clone)]
@@ -51,6 +51,8 @@ pub enum Value {
     Color(Color),
     /// A gradient value: `gradient.linear(...)`.
     Gradient(Gradient),
+    /// A pattern fill: `pattern(...)`.
+    Pattern(Pattern),
     /// A symbol: `arrow.l`.
     Symbol(Symbol),
     /// A version.
@@ -127,6 +129,7 @@ impl Value {
             Self::Fraction(_) => Type::of::<Fr>(),
             Self::Color(_) => Type::of::<Color>(),
             Self::Gradient(_) => Type::of::<Gradient>(),
+            Self::Pattern(_) => Type::of::<Pattern>(),
             Self::Symbol(_) => Type::of::<Symbol>(),
             Self::Version(_) => Type::of::<Version>(),
             Self::Str(_) => Type::of::<Str>(),
@@ -238,6 +241,7 @@ impl Debug for Value {
             Self::Fraction(v) => Debug::fmt(v, f),
             Self::Color(v) => Debug::fmt(v, f),
             Self::Gradient(v) => Debug::fmt(v, f),
+            Self::Pattern(v) => Debug::fmt(v, f),
             Self::Symbol(v) => Debug::fmt(v, f),
             Self::Version(v) => Debug::fmt(v, f),
             Self::Str(v) => Debug::fmt(v, f),
@@ -274,6 +278,7 @@ impl Repr for Value {
             Self::Fraction(v) => v.repr(),
             Self::Color(v) => v.repr(),
             Self::Gradient(v) => v.repr(),
+            Self::Pattern(v) => v.repr(),
             Self::Symbol(v) => v.repr(),
             Self::Version(v) => v.repr(),
             Self::Str(v) => v.repr(),
@@ -323,6 +328,7 @@ impl Hash for Value {
             Self::Fraction(v) => v.hash(state),
             Self::Color(v) => v.hash(state),
             Self::Gradient(v) => v.hash(state),
+            Self::Pattern(v) => v.hash(state),
             Self::Symbol(v) => v.hash(state),
             Self::Version(v) => v.hash(state),
             Self::Str(v) => v.hash(state),
@@ -635,6 +641,7 @@ primitive! { Rel<Length>:  "relative length",
 primitive! { Fr: "fraction", Fraction }
 primitive! { Color: "color", Color }
 primitive! { Gradient: "gradient", Gradient }
+primitive! { Pattern: "pattern", Pattern }
 primitive! { Symbol: "symbol", Symbol }
 primitive! { Version: "version", Version }
 primitive! {
diff --git a/crates/typst/src/layout/axes.rs b/crates/typst/src/layout/axes.rs
index 585e66988..e5c47edd6 100644
--- a/crates/typst/src/layout/axes.rs
+++ b/crates/typst/src/layout/axes.rs
@@ -306,6 +306,18 @@ cast! {
     },
 }
 
+cast! {
+    Axes<Length>,
+    self => array![self.x, self.y].into_value(),
+    array: Array => {
+        let mut iter = array.into_iter();
+        match (iter.next(), iter.next(), iter.next()) {
+            (Some(a), Some(b), None) => Axes::new(a.cast()?, b.cast()?),
+            _ => bail!("length array must contain exactly two entries"),
+        }
+    },
+}
+
 impl<T: Resolve> Resolve for Axes<T> {
     type Output = Axes<T::Output>;
 
diff --git a/crates/typst/src/text/mod.rs b/crates/typst/src/text/mod.rs
index b2a5a840d..45de35f9a 100644
--- a/crates/typst/src/text/mod.rs
+++ b/crates/typst/src/text/mod.rs
@@ -43,7 +43,7 @@ use crate::foundations::{
 use crate::layout::{Abs, Axis, Dir, Length, Rel};
 use crate::model::ParElem;
 use crate::syntax::Spanned;
-use crate::visualize::{Color, GradientRelative, Paint};
+use crate::visualize::{Color, Paint, RelativeTo};
 
 /// Text styling.
 ///
@@ -226,16 +226,14 @@ pub struct TextElem {
     #[parse({
         let paint: Option<Spanned<Paint>> = args.named_or_find("fill")?;
         if let Some(paint) = &paint {
-            if let Paint::Gradient(gradient) = &paint.v {
-                if gradient.relative() == Smart::Custom(GradientRelative::Self_) {
-                    bail!(
-                        error!(
-                            paint.span,
-                            "gradients on text must be relative to the parent"
-                        )
-                        .with_hint("make sure to set `relative: auto` on your text fill")
-                    );
-                }
+            if paint.v.relative() == Smart::Custom(RelativeTo::Self_) {
+                bail!(
+                    error!(
+                        paint.span,
+                        "gradients and patterns on text must be relative to the parent"
+                    )
+                    .with_hint("make sure to set `relative: auto` on your text fill")
+                );
             }
         }
         paint.map(|paint| paint.v)
diff --git a/crates/typst/src/visualize/gradient.rs b/crates/typst/src/visualize/gradient.rs
index bdd26c0d4..4e804d9ac 100644
--- a/crates/typst/src/visualize/gradient.rs
+++ b/crates/typst/src/visualize/gradient.rs
@@ -208,7 +208,7 @@ impl Gradient {
         /// element.
         #[named]
         #[default(Smart::Auto)]
-        relative: Smart<GradientRelative>,
+        relative: Smart<RelativeTo>,
         /// The direction of the gradient.
         #[external]
         #[default(Dir::LTR)]
@@ -295,7 +295,7 @@ impl Gradient {
         /// box, column, grid, or stack that contains the element.
         #[named]
         #[default(Smart::Auto)]
-        relative: Smart<GradientRelative>,
+        relative: Smart<RelativeTo>,
         /// The center of the end circle of the gradient.
         ///
         /// A value of `{(50%, 50%)}` means that the end circle is
@@ -409,7 +409,7 @@ impl Gradient {
         /// box, column, grid, or stack that contains the element.
         #[named]
         #[default(Smart::Auto)]
-        relative: Smart<GradientRelative>,
+        relative: Smart<RelativeTo>,
         /// The center of the last circle of the gradient.
         ///
         /// A value of `{(50%, 50%)}` means that the end circle is
@@ -665,7 +665,7 @@ impl Gradient {
 
     /// Returns the relative placement of this gradient.
     #[func]
-    pub fn relative(&self) -> Smart<GradientRelative> {
+    pub fn relative(&self) -> Smart<RelativeTo> {
         match self {
             Self::Linear(linear) => linear.relative,
             Self::Radial(radial) => radial.relative,
@@ -718,7 +718,7 @@ impl Gradient {
 
 impl Gradient {
     /// Clones this gradient, but with a different relative placement.
-    pub fn with_relative(mut self, relative: GradientRelative) -> Self {
+    pub fn with_relative(mut self, relative: RelativeTo) -> Self {
         match &mut self {
             Self::Linear(linear) => {
                 Arc::make_mut(linear).relative = Smart::Custom(relative);
@@ -815,12 +815,12 @@ impl Gradient {
 
     /// Returns the relative placement of this gradient, handling
     /// the special case of `auto`.
-    pub fn unwrap_relative(&self, on_text: bool) -> GradientRelative {
+    pub fn unwrap_relative(&self, on_text: bool) -> RelativeTo {
         self.relative().unwrap_or_else(|| {
             if on_text {
-                GradientRelative::Parent
+                RelativeTo::Parent
             } else {
-                GradientRelative::Self_
+                RelativeTo::Self_
             }
         })
     }
@@ -870,7 +870,7 @@ pub struct LinearGradient {
     /// The color space in which to interpolate the gradient.
     pub space: ColorSpace,
     /// The relative placement of the gradient.
-    pub relative: Smart<GradientRelative>,
+    pub relative: Smart<RelativeTo>,
     /// Whether to anti-alias the gradient (used for sharp gradients).
     pub anti_alias: bool,
 }
@@ -938,7 +938,7 @@ pub struct RadialGradient {
     /// The color space in which to interpolate the gradient.
     pub space: ColorSpace,
     /// The relative placement of the gradient.
-    pub relative: Smart<GradientRelative>,
+    pub relative: Smart<RelativeTo>,
     /// Whether to anti-alias the gradient (used for sharp gradients).
     pub anti_alias: bool,
 }
@@ -1016,7 +1016,7 @@ pub struct ConicGradient {
     /// The color space in which to interpolate the gradient.
     pub space: ColorSpace,
     /// The relative placement of the gradient.
-    pub relative: Smart<GradientRelative>,
+    pub relative: Smart<RelativeTo>,
     /// Whether to anti-alias the gradient (used for sharp gradients).
     pub anti_alias: bool,
 }
@@ -1070,7 +1070,7 @@ impl Repr for ConicGradient {
 
 /// What is the gradient relative to.
 #[derive(Cast, Debug, Clone, Copy, PartialEq, Eq, Hash)]
-pub enum GradientRelative {
+pub enum RelativeTo {
     /// The gradient is relative to itself (its own bounding box).
     Self_,
     /// The gradient is relative to its parent (the parent's bounding box).
diff --git a/crates/typst/src/visualize/mod.rs b/crates/typst/src/visualize/mod.rs
index e733e5a41..744e4e85e 100644
--- a/crates/typst/src/visualize/mod.rs
+++ b/crates/typst/src/visualize/mod.rs
@@ -6,6 +6,7 @@ mod image;
 mod line;
 mod paint;
 mod path;
+mod pattern;
 mod polygon;
 mod shape;
 mod stroke;
@@ -16,6 +17,7 @@ pub use self::image::*;
 pub use self::line::*;
 pub use self::paint::*;
 pub use self::path::*;
+pub use self::pattern::*;
 pub use self::polygon::*;
 pub use self::shape::*;
 pub use self::stroke::*;
@@ -35,6 +37,7 @@ pub(super) fn define(global: &mut Scope) {
     global.category(VISUALIZE);
     global.define_type::<Color>();
     global.define_type::<Gradient>();
+    global.define_type::<Pattern>();
     global.define_type::<Stroke>();
     global.define_elem::<ImageElem>();
     global.define_elem::<LineElem>();
diff --git a/crates/typst/src/visualize/paint.rs b/crates/typst/src/visualize/paint.rs
index ca5d0d40a..cd1006aa3 100644
--- a/crates/typst/src/visualize/paint.rs
+++ b/crates/typst/src/visualize/paint.rs
@@ -2,8 +2,8 @@ use std::fmt::{self, Debug, Formatter};
 
 use ecow::EcoString;
 
-use crate::foundations::{cast, Repr};
-use crate::visualize::{Color, Gradient, GradientRelative};
+use crate::foundations::{cast, Repr, Smart};
+use crate::visualize::{Color, Gradient, Pattern, RelativeTo};
 
 /// How a fill or stroke should be painted.
 #[derive(Clone, Eq, PartialEq, Hash)]
@@ -12,6 +12,8 @@ pub enum Paint {
     Solid(Color),
     /// A gradient.
     Gradient(Gradient),
+    /// A pattern.
+    Pattern(Pattern),
 }
 
 impl Paint {
@@ -19,19 +21,31 @@ impl Paint {
     pub fn unwrap_solid(&self) -> Color {
         match self {
             Self::Solid(color) => *color,
-            Self::Gradient(_) => panic!("expected solid color"),
+            Self::Gradient(_) | Self::Pattern(_) => panic!("expected solid color"),
+        }
+    }
+
+    /// Gets the relative coordinate system for this paint.
+    pub fn relative(&self) -> Smart<RelativeTo> {
+        match self {
+            Self::Solid(_) => Smart::Auto,
+            Self::Gradient(gradient) => gradient.relative(),
+            Self::Pattern(pattern) => pattern.relative(),
         }
     }
 
     /// Turns this paint into a paint for a text decoration.
     ///
     /// If this paint is a gradient, it will be converted to a gradient with
-    /// relative set to [`GradientRelative::Parent`].
+    /// relative set to [`RelativeTo::Parent`].
     pub fn as_decoration(&self) -> Self {
         match self {
             Self::Solid(color) => Self::Solid(*color),
             Self::Gradient(gradient) => {
-                Self::Gradient(gradient.clone().with_relative(GradientRelative::Parent))
+                Self::Gradient(gradient.clone().with_relative(RelativeTo::Parent))
+            }
+            Self::Pattern(pattern) => {
+                Self::Pattern(pattern.clone().with_relative(RelativeTo::Parent))
             }
         }
     }
@@ -42,15 +56,23 @@ impl Debug for Paint {
         match self {
             Self::Solid(v) => v.fmt(f),
             Self::Gradient(v) => v.fmt(f),
+            Self::Pattern(v) => v.fmt(f),
         }
     }
 }
 
+impl From<Pattern> for Paint {
+    fn from(pattern: Pattern) -> Self {
+        Self::Pattern(pattern)
+    }
+}
+
 impl Repr for Paint {
     fn repr(&self) -> EcoString {
         match self {
             Self::Solid(color) => color.repr(),
             Self::Gradient(gradient) => gradient.repr(),
+            Self::Pattern(pattern) => pattern.repr(),
         }
     }
 }
@@ -72,7 +94,9 @@ cast! {
     self => match self {
         Self::Solid(color) => color.into_value(),
         Self::Gradient(gradient) => gradient.into_value(),
+        Self::Pattern(pattern) => pattern.into_value(),
     },
     color: Color => Self::Solid(color),
     gradient: Gradient => Self::Gradient(gradient),
+    pattern: Pattern => Self::Pattern(pattern),
 }
diff --git a/crates/typst/src/visualize/pattern.rs b/crates/typst/src/visualize/pattern.rs
new file mode 100644
index 000000000..55d685006
--- /dev/null
+++ b/crates/typst/src/visualize/pattern.rs
@@ -0,0 +1,288 @@
+use std::hash::Hash;
+use std::sync::Arc;
+
+use comemo::Prehashed;
+use ecow::{eco_format, EcoString};
+
+use crate::diag::{bail, error, SourceResult};
+use crate::eval::Vm;
+use crate::foundations::{func, scope, ty, Content, Repr, Smart, StyleChain};
+use crate::layout::{Abs, Axes, Em, Frame, Layout, Length, Regions, Size};
+use crate::syntax::{Span, Spanned};
+use crate::util::Numeric;
+use crate::visualize::RelativeTo;
+use crate::World;
+
+/// A repeating pattern fill.
+///
+/// Typst supports the most common pattern type of tiled patterns, where a
+/// pattern is repeated in a grid-like fashion. The pattern is defined by a
+/// body and a tile size. The tile size is the size of each cell of the pattern.
+/// The body is the content of each cell of the pattern. The pattern is
+/// repeated in a grid-like fashion covering the entire area of the element
+/// being filled. You can also specify a spacing between the cells of the
+/// pattern, which is defined by a horizontal and vertical spacing. The spacing
+/// is the distance between the edges of adjacent cells of the pattern. The default
+/// spacing is zero.
+///
+/// # Examples
+///
+/// ```example
+/// #let pat = pattern(size: (30pt, 30pt))[
+///   #place(top + left, line(start: (0%, 0%), end: (100%, 100%), stroke: 1pt))
+///   #place(top + left, line(start: (0%, 100%), end: (100%, 0%), stroke: 1pt))
+/// ]
+///
+/// #rect(fill: pat, width: 100%, height: 100%, stroke: 1pt)
+/// ```
+///
+/// Patterns are also supported on text, but only when setting the
+/// [relativeness]($pattern.relative) to either `{auto}` (the default value) or
+/// `{"parent"}`. To create word-by-word or glyph-by-glyph patterns, you can
+/// wrap the words or characters of your text in [boxes]($box) manually or
+/// through a [show rule]($styling/#show-rules).
+///
+/// ```example
+/// #let pat = pattern(
+///   size: (30pt, 30pt),
+///   relative: "parent",
+///   square(size: 30pt, fill: gradient.conic(..color.map.rainbow))
+/// )
+///
+/// #set text(fill: pat)
+/// #lorem(10)
+/// ```
+///
+/// You can also space the elements further or closer apart using the
+/// [`spacing`]($pattern.spacing) feature of the pattern. If the spacing
+/// is lower than the size of the pattern, the pattern will overlap.
+/// If it is higher, the pattern will have gaps of the same color as the
+/// background of the pattern.
+///
+/// ```example
+/// #let pat = pattern(
+///   size: (30pt, 30pt),
+///   spacing: (10pt, 10pt),
+///   relative: "parent",
+///   square(size: 30pt, fill: gradient.conic(..color.map.rainbow))
+/// )
+///
+///  #rect(width: 100%, height: 100%, fill: pat)
+/// ```
+///
+/// # Relativeness
+/// The location of the starting point of the pattern is dependant on the
+/// dimensions of a container. This container can either be the shape they
+/// are painted on, or the closest surrounding container. This is controlled by
+/// the `relative` argument of a pattern constructor. By default, patterns are
+/// relative to the shape they are painted on, unless the pattern is applied on
+/// text, in which case they are relative to the closest ancestor container.
+///
+/// Typst determines the ancestor container as follows:
+/// - For shapes that are placed at the root/top level of the document, the
+///   closest ancestor is the page itself.
+/// - For other shapes, the ancestor is the innermost [`block`]($block) or
+///   [`box`]($box) that contains the shape. This includes the boxes and blocks
+///   that are implicitly created by show rules and elements. For example, a
+///   [`rotate`]($rotate) will not affect the parent of a gradient, but a
+///   [`grid`]($grid) will.
+#[ty(scope)]
+#[derive(Debug, Clone, PartialEq, Eq, Hash)]
+pub struct Pattern(Arc<PatternRepr>);
+
+/// Internal representation of [`Pattern`].
+#[derive(Debug, Clone, PartialEq, Eq, Hash)]
+struct PatternRepr {
+    /// The body of the pattern
+    body: Prehashed<Content>,
+    /// The pattern's rendered content.
+    frame: Prehashed<Frame>,
+    /// The pattern's tile size.
+    size: Size,
+    /// The pattern's tile spacing.
+    spacing: Size,
+    /// The pattern's relative transform.
+    relative: Smart<RelativeTo>,
+}
+
+#[scope]
+impl Pattern {
+    /// Construct a new pattern.
+    ///
+    /// ```example
+    /// #let pat = pattern(
+    ///   size: (20pt, 20pt),
+    ///   relative: "parent",
+    ///   place(dx: 5pt, dy: 5pt, rotate(45deg, square(size: 5pt, fill: black)))
+    /// )
+    ///
+    /// #rect(width: 100%, height: 100%, fill: pat)
+    /// ```
+    #[func(constructor)]
+    pub fn construct(
+        vm: &mut Vm,
+        /// The bounding box of each cell of the pattern.
+        #[named]
+        #[default(Spanned::new(Smart::Auto, Span::detached()))]
+        size: Spanned<Smart<Axes<Length>>>,
+        /// The spacing between cells of the pattern.
+        #[named]
+        #[default(Spanned::new(Axes::splat(Length::zero()), Span::detached()))]
+        spacing: Spanned<Axes<Length>>,
+        /// The [relative placement](#relativeness) of the pattern.
+        ///
+        /// For an element placed at the root/top level of the document, the
+        /// parent is the page itself. For other elements, the parent is the
+        /// innermost block, box, column, grid, or stack that contains the
+        /// element.
+        #[named]
+        #[default(Smart::Auto)]
+        relative: Smart<RelativeTo>,
+        /// The content of each cell of the pattern.
+        body: Content,
+    ) -> SourceResult<Pattern> {
+        let span = size.span;
+        if let Smart::Custom(size) = size.v {
+            // Ensure that sizes are absolute.
+            if !size.x.em.is_zero() || !size.y.em.is_zero() {
+                bail!(span, "pattern tile size must be absolute");
+            }
+
+            // Ensure that sizes are non-zero and finite.
+            if size.x.is_zero()
+                || size.y.is_zero()
+                || !size.x.is_finite()
+                || !size.y.is_finite()
+            {
+                bail!(span, "pattern tile size must be non-zero and non-infinite");
+            }
+        }
+
+        // Ensure that spacing is absolute.
+        if !spacing.v.x.em.is_zero() || !spacing.v.y.em.is_zero() {
+            bail!(spacing.span, "pattern tile spacing must be absolute");
+        }
+
+        // Ensure that spacing is finite.
+        if !spacing.v.x.is_finite() || !spacing.v.y.is_finite() {
+            bail!(spacing.span, "pattern tile spacing must be finite");
+        }
+
+        // The size of the frame
+        let size = size.v.map(|l| l.map(|a| a.abs));
+        let region = size.unwrap_or_else(|| Axes::splat(Abs::inf()));
+
+        // Layout the pattern.
+        let world = vm.vt.world;
+        let library = world.library();
+        let styles = StyleChain::new(&library.styles);
+        let pod = Regions::one(region, Axes::splat(false));
+        let mut frame = body.layout(&mut vm.vt, styles, pod)?.into_frame();
+
+        // Check that the frame is non-zero.
+        if size.is_auto() && frame.size().is_zero() {
+            bail!(error!(span, "pattern tile size must be non-zero")
+                .with_hint("try setting the size manually"));
+        }
+
+        // Set the size of the frame if the size is enforced.
+        if let Smart::Custom(size) = size {
+            frame.set_size(size);
+        }
+
+        Ok(Self(Arc::new(PatternRepr {
+            size: frame.size(),
+            body: Prehashed::new(body),
+            frame: Prehashed::new(frame),
+            spacing: spacing.v.map(|l| l.abs),
+            relative,
+        })))
+    }
+
+    /// Returns the content of an individual tile of the pattern.
+    #[func]
+    pub fn body(&self) -> Content {
+        self.0.body.clone().into_inner()
+    }
+
+    /// Returns the size of an individual tile of the pattern.
+    #[func]
+    pub fn size(&self) -> Axes<Length> {
+        self.0.size.map(|l| Length { abs: l, em: Em::zero() })
+    }
+
+    /// Returns the spacing between tiles of the pattern.
+    #[func]
+    pub fn spacing(&self) -> Axes<Length> {
+        self.0.spacing.map(|l| Length { abs: l, em: Em::zero() })
+    }
+
+    /// Returns the relative placement of the pattern.
+    #[func]
+    pub fn relative(&self) -> Smart<RelativeTo> {
+        self.0.relative
+    }
+}
+
+impl Pattern {
+    /// Set the relative placement of the pattern.
+    pub fn with_relative(mut self, relative: RelativeTo) -> Self {
+        if let Some(this) = Arc::get_mut(&mut self.0) {
+            this.relative = Smart::Custom(relative);
+        } else {
+            self.0 = Arc::new(PatternRepr {
+                relative: Smart::Custom(relative),
+                ..self.0.as_ref().clone()
+            });
+        }
+
+        self
+    }
+
+    /// Returns the relative placement of the pattern.
+    pub fn unwrap_relative(&self, on_text: bool) -> RelativeTo {
+        self.0.relative.unwrap_or_else(|| {
+            if on_text {
+                RelativeTo::Parent
+            } else {
+                RelativeTo::Self_
+            }
+        })
+    }
+
+    /// Return the size of the pattern in absolute units.
+    pub fn size_abs(&self) -> Size {
+        self.0.size
+    }
+
+    /// Return the spacing of the pattern in absolute units.
+    pub fn spacing_abs(&self) -> Size {
+        self.0.spacing
+    }
+
+    /// Return the frame of the pattern.
+    pub fn frame(&self) -> &Frame {
+        &self.0.frame
+    }
+}
+
+impl Repr for Pattern {
+    fn repr(&self) -> EcoString {
+        let mut out =
+            eco_format!("pattern(({}, {})", self.0.size.x.repr(), self.0.size.y.repr());
+
+        if self.spacing() != Axes::splat(Length::zero()) {
+            out.push_str(", spacing: (");
+            out.push_str(&self.0.spacing.x.repr());
+            out.push_str(", ");
+            out.push_str(&self.0.spacing.y.repr());
+            out.push(')');
+        }
+
+        out.push_str(", ");
+        out.push_str(&self.0.body.repr());
+        out.push(')');
+
+        out
+    }
+}
diff --git a/crates/typst/src/visualize/stroke.rs b/crates/typst/src/visualize/stroke.rs
index 3a90c3b95..cc93cee7a 100644
--- a/crates/typst/src/visualize/stroke.rs
+++ b/crates/typst/src/visualize/stroke.rs
@@ -7,7 +7,7 @@ use crate::foundations::{
 };
 use crate::layout::{Abs, Length};
 use crate::util::{Numeric, Scalar};
-use crate::visualize::{Color, Gradient, Paint};
+use crate::visualize::{Color, Gradient, Paint, Pattern};
 
 /// Defines how to draw a line.
 ///
@@ -381,6 +381,10 @@ cast! {
         paint: Smart::Custom(gradient.into()),
         ..Default::default()
     },
+    pattern: Pattern => Self {
+        paint: Smart::Custom(pattern.into()),
+        ..Default::default()
+    },
     mut dict: Dict => {
         // Get a value by key, accepting either Auto or something convertible to type T.
         fn take<T: FromValue>(dict: &mut Dict, key: &str) -> StrResult<Smart<T>> {
diff --git a/tests/ref/visualize/pattern-relative.png b/tests/ref/visualize/pattern-relative.png
new file mode 100644
index 000000000..7958bf7f6
Binary files /dev/null and b/tests/ref/visualize/pattern-relative.png differ
diff --git a/tests/ref/visualize/pattern-small.png b/tests/ref/visualize/pattern-small.png
new file mode 100644
index 000000000..6af592dd8
Binary files /dev/null and b/tests/ref/visualize/pattern-small.png differ
diff --git a/tests/ref/visualize/pattern-spacing.png b/tests/ref/visualize/pattern-spacing.png
new file mode 100644
index 000000000..4c95a3b02
Binary files /dev/null and b/tests/ref/visualize/pattern-spacing.png differ
diff --git a/tests/ref/visualize/pattern-stroke.png b/tests/ref/visualize/pattern-stroke.png
new file mode 100644
index 000000000..d71f1c920
Binary files /dev/null and b/tests/ref/visualize/pattern-stroke.png differ
diff --git a/tests/ref/visualize/pattern-text.png b/tests/ref/visualize/pattern-text.png
new file mode 100644
index 000000000..2ecf2fdab
Binary files /dev/null and b/tests/ref/visualize/pattern-text.png differ
diff --git a/tests/typ/layout/table.typ b/tests/typ/layout/table.typ
index 5ddc8503f..529f27201 100644
--- a/tests/typ/layout/table.typ
+++ b/tests/typ/layout/table.typ
@@ -66,5 +66,5 @@
 #table()
 
 ---
-// Error: 14-19 expected color, gradient, none, array, or function, found string
+// Error: 14-19 expected color, gradient, pattern, none, array, or function, found string
 #table(fill: "hey")
diff --git a/tests/typ/visualize/gradient-text.typ b/tests/typ/visualize/gradient-text.typ
index a233ba6b9..671172e10 100644
--- a/tests/typ/visualize/gradient-text.typ
+++ b/tests/typ/visualize/gradient-text.typ
@@ -9,7 +9,7 @@
 // Make sure they don't work when `relative: "self"`.
 
 // Hint: 17-61 make sure to set `relative: auto` on your text fill
-// Error: 17-61 gradients on text must be relative to the parent
+// Error: 17-61 gradients and patterns on text must be relative to the parent
 #set text(fill: gradient.linear(red, blue, relative: "self"))
 
 ---
diff --git a/tests/typ/visualize/pattern-relative.typ b/tests/typ/visualize/pattern-relative.typ
new file mode 100644
index 000000000..78517e1e1
--- /dev/null
+++ b/tests/typ/visualize/pattern-relative.typ
@@ -0,0 +1,23 @@
+// Test pattern with different `relative`.
+
+---
+// Test with relative set to `"self"`
+#let pat(..args) = pattern(size: (30pt, 30pt), ..args)[
+  #place(top + left, line(start: (0%, 0%), end: (100%, 100%), stroke: 1pt))
+  #place(top + left, line(start: (0%, 100%), end: (100%, 0%), stroke: 1pt))
+]
+
+#set page(fill: pat(), width: 100pt, height: 100pt)
+
+#rect(fill: pat(relative: "self"), width: 100%, height: 100%, stroke: 1pt)
+
+---
+// Test with relative set to `"parent"`
+#let pat(..args) = pattern(size: (30pt, 30pt), ..args)[
+  #place(top + left, line(start: (0%, 0%), end: (100%, 100%), stroke: 1pt))
+  #place(top + left, line(start: (0%, 100%), end: (100%, 0%), stroke: 1pt))
+]
+
+#set page(fill: pat(), width: 100pt, height: 100pt)
+
+#rect(fill: pat(relative: "parent"), width: 100%, height: 100%, stroke: 1pt)
diff --git a/tests/typ/visualize/pattern-small.typ b/tests/typ/visualize/pattern-small.typ
new file mode 100644
index 000000000..888cfee1c
--- /dev/null
+++ b/tests/typ/visualize/pattern-small.typ
@@ -0,0 +1,14 @@
+// Tests small patterns for pixel accuracy.
+
+---
+#box(
+  width: 8pt,
+  height: 1pt,
+  fill: pattern(size: (1pt, 1pt), square(size: 1pt, fill: black))
+)
+#v(-1em)
+#box(
+  width: 8pt,
+  height: 1pt,
+  fill: pattern(size: (2pt, 1pt), square(size: 1pt, fill: black))
+)
diff --git a/tests/typ/visualize/pattern-spacing.typ b/tests/typ/visualize/pattern-spacing.typ
new file mode 100644
index 000000000..f8f5f9fdf
--- /dev/null
+++ b/tests/typ/visualize/pattern-spacing.typ
@@ -0,0 +1,31 @@
+// Test pattern with different `spacing`.
+
+---
+// Test with spacing set to `(-10pt, -10pt)`
+#let pat(..args) = pattern(size: (30pt, 30pt), ..args)[
+  #square(width: 100%, height: 100%, stroke: 1pt, fill: blue)
+]
+
+#set page(width: 100pt, height: 100pt)
+
+#rect(fill: pat(spacing: (-10pt, -10pt)), width: 100%, height: 100%, stroke: 1pt)
+
+---
+// Test with spacing set to `(0pt, 0pt)`
+#let pat(..args) = pattern(size: (30pt, 30pt), ..args)[
+  #square(width: 100%, height: 100%, stroke: 1pt, fill: blue)
+]
+
+#set page(width: 100pt, height: 100pt)
+
+#rect(fill: pat(spacing: (0pt, 0pt)), width: 100%, height: 100%, stroke: 1pt)
+
+---
+// Test with spacing set to `(10pt, 10pt)`
+#let pat(..args) = pattern(size: (30pt, 30pt), ..args)[
+  #square(width: 100%, height: 100%, stroke: 1pt, fill: blue)
+]
+
+#set page(width: 100pt, height: 100pt)
+
+#rect(fill: pat(spacing: (10pt, 10pt,)), width: 100%, height: 100%, stroke: 1pt)
diff --git a/tests/typ/visualize/pattern-stroke.typ b/tests/typ/visualize/pattern-stroke.typ
new file mode 100644
index 000000000..3cc43a704
--- /dev/null
+++ b/tests/typ/visualize/pattern-stroke.typ
@@ -0,0 +1,13 @@
+// Test pattern on strokes
+
+---
+#align(
+  center + top,
+  square(
+    size: 50pt,
+    stroke: 5pt + pattern(
+      size: (5pt, 5pt),
+      align(horizon + center, circle(fill: blue, radius: 2.5pt))
+    )
+  )
+)
diff --git a/tests/typ/visualize/pattern-text.typ b/tests/typ/visualize/pattern-text.typ
new file mode 100644
index 000000000..a9fbfb37b
--- /dev/null
+++ b/tests/typ/visualize/pattern-text.typ
@@ -0,0 +1,28 @@
+// Test a pattern on some text
+
+---
+// You shouldn't be able to see the text, if you can then
+// that means that the transform matrices are not being
+// applied to the text correctly.
+#let pat = pattern(
+  size: (30pt, 30pt),
+  relative: "parent",
+  square(size: 30pt, fill: gradient.conic(..color.map.rainbow))
+);
+
+#set page(
+  width: 140pt,
+  height: 140pt,
+  fill: pat
+)
+
+#rotate(45deg, scale(x: 50%, y: 70%, rect(
+  width: 100%,
+  height: 100%,
+  stroke: 1pt,
+)[
+  #lorem(10)
+
+  #set text(fill: pat)
+  #lorem(10)
+]))
diff --git a/tests/typ/visualize/shape-rect.typ b/tests/typ/visualize/shape-rect.typ
index 6447b55d4..ea0e66b0e 100644
--- a/tests/typ/visualize/shape-rect.typ
+++ b/tests/typ/visualize/shape-rect.typ
@@ -51,7 +51,7 @@
 #rect(radius: (left: 10pt, cake: 5pt))
 
 ---
-// Error: 15-21 expected length, color, gradient, dictionary, stroke, none, or auto, found array
+// Error: 15-21 expected length, color, gradient, pattern, dictionary, stroke, none, or auto, found array
 #rect(stroke: (1, 2))
 
 ---