Medieval patrician classes were once again formally defined groups of leading burgess families in many medieval Italian republics, such as Venice and Genoa, and subsequently "patrician" became a vague term used for aristocrats and the higher bourgeoisie in many countries.
Kelas sosial patrician Abad Pertengahan sekali lagi secara formal merupakan sekelompok keluarga burgher elit dalam banyak republik Italia Abad Pertengahan, misalnya Venesia dan Genoa, dan selanjutnya "patrician" menjadi istilah yang digunakan oleh para aristokrat dan borjuis elit di banyak negara.