The best replacement for patcher is optifine.

The best alternatives to patcher are rated as following:
★★★★★  optifine
★★★★  uxstyle
★★★★  adaway

Your alternative for patcher is not listed? Suggest!
Speaking about patcher, one probably shouldn't forget about poweramp.

Other search terms related to patcher and their ratings are:
★★★★★ poweramp
You have in mind a companion for patcher and it is not yet here? Propose!



Google Trends

Scale is based on the average worldwide traffic of patcher in all years. Click on graph for more.
patcher
optifine
uxstyle