diff --git a/packages/edit-site/src/components/page-patterns/grid.js b/packages/edit-site/src/components/page-patterns/grid.js
index 1902b36982c14..47bcdc8a1f768 100644
--- a/packages/edit-site/src/components/page-patterns/grid.js
+++ b/packages/edit-site/src/components/page-patterns/grid.js
@@ -1,26 +1,115 @@
 /**
  * WordPress dependencies
  */
-import { __experimentalText as Text } from '@wordpress/components';
-import { useRef } from '@wordpress/element';
-import { __, sprintf } from '@wordpress/i18n';
+import {
+	__experimentalHStack as HStack,
+	__experimentalText as Text,
+	Button,
+} from '@wordpress/components';
+import { useRef, useState, useMemo } from '@wordpress/element';
+import { __, _x, _n, sprintf } from '@wordpress/i18n';
+import { useAsyncList } from '@wordpress/compose';
 
 /**
  * Internal dependencies
  */
 import GridItem from './grid-item';
 
-const PAGE_SIZE = 100;
+const PAGE_SIZE = 20;
+
+function Pagination( { currentPage, numPages, changePage, totalItems } ) {
+	return (
+		<HStack
+			expanded={ false }
+			spacing={ 3 }
+			className="edit-site-patterns__grid-pagination"
+		>
+			<Text variant="muted">
+				{
+					// translators: %s: Total number of patterns.
+					sprintf(
+						// translators: %s: Total number of patterns.
+						_n( '%s item', '%s items', totalItems ),
+						totalItems
+					)
+				}
+			</Text>
+			<HStack expanded={ false } spacing={ 1 }>
+				<Button
+					variant="tertiary"
+					onClick={ () => changePage( 1 ) }
+					disabled={ currentPage === 1 }
+					aria-label={ __( 'First page' ) }
+				>
+					«
+				</Button>
+				<Button
+					variant="tertiary"
+					onClick={ () => changePage( currentPage - 1 ) }
+					disabled={ currentPage === 1 }
+					aria-label={ __( 'Previous page' ) }
+				>
+					‹
+				</Button>
+			</HStack>
+			<Text variant="muted">
+				{ sprintf(
+					// translators: %1$s: Current page number, %2$s: Total number of pages.
+					_x( '%1$s of %2$s', 'paging' ),
+					currentPage,
+					numPages
+				) }
+			</Text>
+			<HStack expanded={ false } spacing={ 1 }>
+				<Button
+					variant="tertiary"
+					onClick={ () => changePage( currentPage + 1 ) }
+					disabled={ currentPage === numPages }
+					aria-label={ __( 'Next page' ) }
+				>
+					›
+				</Button>
+				<Button
+					variant="tertiary"
+					onClick={ () => changePage( numPages ) }
+					disabled={ currentPage === numPages }
+					aria-label={ __( 'Last page' ) }
+				>
+					»
+				</Button>
+			</HStack>
+		</HStack>
+	);
+}
 
 export default function Grid( { categoryId, items, ...props } ) {
+	const [ currentPage, setCurrentPage ] = useState( 1 );
 	const gridRef = useRef();
+	const totalItems = items.length;
+	const pageIndex = currentPage - 1;
 
-	if ( ! items?.length ) {
+	const list = useMemo(
+		() =>
+			items.slice(
+				pageIndex * PAGE_SIZE,
+				pageIndex * PAGE_SIZE + PAGE_SIZE
+			),
+		[ pageIndex, items ]
+	);
+
+	const asyncList = useAsyncList( list, { step: 10 } );
+
+	if ( ! list?.length ) {
 		return null;
 	}
 
-	const list = items.slice( 0, PAGE_SIZE );
-	const restLength = items.length - PAGE_SIZE;
+	const numPages = Math.ceil( items.length / PAGE_SIZE );
+	const changePage = ( page ) => {
+		const scrollContainer = document.querySelector( '.edit-site-patterns' );
+		scrollContainer?.scrollTo( 0, 0 );
+
+		setCurrentPage( page );
+	};
 
 	return (
 		<>
@@ -30,7 +119,7 @@ export default function Grid( { categoryId, items, ...props } ) {
 				{ ...props }
 				ref={ gridRef }
 			>
-				{ list.map( ( item ) => (
+				{ asyncList.map( ( item ) => (
 					<GridItem
 						key={ item.name }
 						item={ item }
@@ -38,14 +127,10 @@ export default function Grid( { categoryId, items, ...props } ) {
 					/>
 				) ) }
 			</ul>
-			{ restLength > 0 && (
-				<Text variant="muted" as="p" align="center">
-					{ sprintf(
-						/* translators: %d: number of patterns */
-						__( '+ %d more patterns discoverable by searching' ),
-						restLength
-					) }
-				</Text>
+			{ numPages > 1 && (
+				<Pagination
+					{ ...{ currentPage, numPages, changePage, totalItems } }
+				/>
 			) }
 		</>
 	);
diff --git a/packages/edit-site/src/components/page-patterns/patterns-list.js b/packages/edit-site/src/components/page-patterns/patterns-list.js
index 7bf2a9d506584..f4fefed4a2d3e 100644
--- a/packages/edit-site/src/components/page-patterns/patterns-list.js
+++ b/packages/edit-site/src/components/page-patterns/patterns-list.js
@@ -15,7 +15,7 @@ import {
 import { __, isRTL } from '@wordpress/i18n';
 import { chevronLeft, chevronRight } from '@wordpress/icons';
 import { privateApis as routerPrivateApis } from '@wordpress/router';
-import { useViewportMatch, useAsyncList } from '@wordpress/compose';
+import { useViewportMatch } from '@wordpress/compose';
 
 /**
  * Internal dependencies
@@ -70,7 +70,6 @@ export default function PatternsList( { categoryId, type } ) {
 	const hasPatterns = patterns.length;
 	const title = SYNC_FILTERS[ syncFilter ];
 	const description = SYNC_DESCRIPTIONS[ syncFilter ];
-	const shownPatterns = useAsyncList( patterns );
 
 	return (
 		<VStack spacing={ 6 }>
@@ -132,7 +131,7 @@ export default function PatternsList( { categoryId, type } ) {
 			</Flex>
 			{ syncFilter !== 'all' && (
 				<VStack className="edit-site-patterns__section-header">
-					<Heading as="h3" level={ 4 } id={ titleId }>
+					<Heading as="h3" level={ 5 } id={ titleId }>
 						{ title }
 					</Heading>
 					{ description ? (
@@ -145,7 +144,7 @@ export default function PatternsList( { categoryId, type } ) {
 			{ hasPatterns && (
 				<Grid
 					categoryId={ categoryId }
-					items={ shownPatterns }
+					items={ patterns }
 					aria-labelledby={ titleId }
 					aria-describedby={ descriptionId }
 				/>
diff --git a/packages/edit-site/src/components/page-patterns/style.scss b/packages/edit-site/src/components/page-patterns/style.scss
index 79731999f46ef..d1fbedb141f70 100644
--- a/packages/edit-site/src/components/page-patterns/style.scss
+++ b/packages/edit-site/src/components/page-patterns/style.scss
@@ -1,6 +1,8 @@
 .edit-site-patterns {
-	background: rgba(0, 0, 0, 0.15);
+	border: 1px solid $gray-800;
+	background: none;
 	margin: $header-height 0 0;
+	border-radius: 0;
 	.components-base-control {
 		width: 100%;
 		@include break-medium {
@@ -59,6 +61,23 @@
 		background: $gray-700;
 		color: $gray-100;
 	}
+
+	.edit-site-patterns__grid-pagination {
+		width: fit-content;
+		.components-button.is-tertiary {
+			width: $button-size-compact;
+			height: $button-size-compact;
+			color: $gray-100;
+			background-color: $gray-800;
+			&:disabled {
+				color: $gray-600;
+				background: none;
+			}
+			&:hover:not(:disabled) {
+				background-color: $gray-700;
+			}
+		}
+	}
 }
 
 .edit-site-patterns__section-header {
@@ -74,6 +93,7 @@
 	// Small top padding required to avoid cutting off the visible outline
 	// when hovering items.
 	padding-top: $border-width-focus-fallback;
+	margin-top: 0;
 	margin-bottom: $grid-unit-40;
 	@include break-large {
 		grid-template-columns: 1fr 1fr;