0RavingMadStudiosBest Answer 11 years ago It's just a little picture file that attaches to your user profile. You get them by either making some kind of achievement on the site (i.e. being featured in the newsletter), or by being awarded one by a Pro member for reasons known only to the Pros (I got one from Kiteman for writing a silly haiku, for example). You have to be a Pro (i.e. paying) member to send patches to people.