The most common and most likely answer to this crossword clue is the 9 letter word BIRTHMARK
B
I
R
T
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M
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More clues leading to the result BIRTHMARK
Buddy explains!

The straight part
We know that "not a patch on anybody else?" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case not a patch on anybody else? = birthmark.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
What does BIRTHMARK mean?
BIRTHMARK noun- A mark on the skin formed before birth.