Patrick Cox (born March 19, 1963) is a Canadian-British fashion designer and an eponymous fashion label specializing in the creation of shoes, leather goods and accessories. Cox is most noted for the use of unusual materials and a mixture of avant-garde and traditional styles.

Cox was born in Edmonton, Alberta, to a ballerina Canadian mother and linguist English father. Cox was educated locally, except for periods when his father's work led the family to postings in Nigeria, Chad and Cameroon. Cox eventually graduated from school in Edmonton Canada and moved to Toronto on his own when he was 17.

At the age of 19, Cox produced his first pair of shoes, for the Toronto-based designer Loucas Kleanthous, who suggested Cox consider a career as a designer. An interest in British fashion led Cox to study at Cordwainer's Technical College, London, a design school that was absorbed into the London College of Fashion in 2000. Cox studied at Cordwainer's from 1983 to 1985. He graduated with merit in July 1985.

During his time as a student in London, Cox probably spent as much time in nightclubs as he did studying. Through his partying Cox became friends with several well-known designers, such as the legendary Vivienne Westwood. As a result, in 1984, Westwood asked Cox to design shoes for her "Clint Eastwood" collection. One of the shoes that Cox created incorporated a 4-inch platform that would become the prototype of a 9-inch pair later worn by supermodel Naomi Campbell, when she famously fell during a Westwood fashion show in Paris, France in 1993. In his second year of college Cox designed and handmade fluorescent fringed moccasins for the celebrated Body Map brand of David Holah and Stevie Stewart.

Cox used to date Canadian journalist, entrepreneur, and magazine publisher Tyler Brûlé. Cox funded the launch of Brûlé's Wallpaper magazine that was subsequently sold to Time Warner in 1997. They split up in 1997.

Cox set up his own company designing shoes in 1985, and in 1986 designed the shoes for John Galliano's "Fallen Angels" collection. Subsequently, Cox launched his own Patrick Cox label, adopting the fleur-de-lys logo. Cox continued to work with Galliano for two more seasons. He also produced the shoes for numerous designers' fashion shows including Anna Sui, John Flett, Alistair Blair and Lanvin Haute Couture to name but a few.

In 1991, Cox opened his first shop opposite the Peter Jones department store in Sloane Square, Chelsea, a well-known fashion district of London. In 1993, Cox marketed his first collection designed for the mass market. This diffusion range called "Wannabe" increased the company's semi annual sales from 2,000 to 200,000 pairs. Cox's signature silhouette was a loafer with a chunky heel, reminiscent of the 1970s disco platforms worn inside Studio 54. Cox has credited his initial interest in moccasins to fellow designer Richard James whom had asked Cox to design him a modern loafer to accessorise one of his early 1990s fashion shows.

In 1994, Cox opened his first Parisian store on the right bank, followed in 1995 by a second store in London on Sloane Street, a new store on New York's Madison Avenue and a second store in Paris on the left bank. During this time, Cox was twice awarded Accessory Designer of the Year at the British Fashion Awards. 1998 saw Cox move his design office and production from the UK to Civitanova, in the Italian Marche, an area known for shoe manufacture.