....Help
As a patton player with high winrate, I think I could say something about this tank...
1. Free XP the tracks
save up some free XP for the tracks, without the tracks, this tank is next to unplayable because you cannot put equipments or the better 90mm gun (the 180 pen one) on it. (still better than stock ARLv39)
2. play it like a Pershing when stock
seriously, with that 90mm gun you would not be able to bully even tier 8s, let alone facing tier 9 or 10s. The gun sucks big time so you cannot contribute much damage wise but you had one advantage: 400m of view range. Try to put on equipments that improves your view range. If you don't want to use too many gold rounds then rammer optics binocs which would allow you to contribute when you get into a map that is not about close-quarters, else the standard medium outfit of rammer vstab optics is usually enough.
Spotting in a medium tank like patton (relatively slow and big target) has to be done conservatively, usually by finding a nice bush that allows you to spot enemies for your teammates. In the case of patton, it can also use a slope to peek your turret out for spotting and as well getting a shot off if possible then retreat (best if there was a bush on top of slope). Do not put your life at risk just to get a shot off. The turret is good enough against tier 7 or some tier 8s if there wasn't immediate risk of arty. It is a good exercise learning to hide with relatively low camo values (knowing no-go zone or zones you can fire without being spotted).
Since your only advantage is spotting, it is not recommended to snipe if there wasn't any tanks that would do the spotting in team.
Do not be on the frontline without terrain cover. That hull isn't going to bounce anything and enemy can just auto-aim at you. With terrain cover, however, you can be rather aggressive since people had actually to aim carefully at your turret cheeks/cupola to damage you. As always, always make sure there are someone behind you so enemies don't just rush you and kill you.
If you are forced to fight in cities, try perma-tracking (hitting the first wheel) with your ROF.
Load a lot of gold ammo, you are going to need them against pretty much anything above tier 8 if you don't want to spend too much time aiming (which could get you killed). Normal AP rounds are good for side-shots and lightly armored targets. HE rounds aren't that good on this gun but you can load a couple just to fight those German TDs or for tracking.
3. Research the gun first
That 105mm is like a gift from god. With it even tier 10s have to fear you. As always, try to minimize exposure time if possible. You do not need gold rounds against lower tiers or even same tiers any more. Still, you want to load gold when you see tanks like T-54 or E-75.
4. With top turret, you can stat pad like no tomorrow
Your DPM will allow you to bully tier 8 and make people cry OP-ness (use terrain and abuse your fast aim-time to increase the pain and cause panic). You can safely go against most 700 HP targets when they cannot one-shot you. Still, your nemesis is... SU-122-44... if on same HP he will kill you before you kill him lol. Spotting is no longer your primary role and remember to retreat to snipe/support if you are low on HP as your gun is super lethal (450m+ long range sniping is not recommended as gun accuracy is not good).
5. Get a friend or two to platoon
Want a meatshield? Or just someone to chat with? Play with a friend! It is easier for two persons to see each other's weakness or just to share some sweet spots on map that you just discovered. Voice comms also improve your situation awareness and is highly recommended.
The usual best combo for tier 9 is 1 medium (like T-54/Patton), 1 meatshield (like E-75/M103) and 1 autoloader (like T54E1/AMX 50 120) and it is possible to get 30-40 win streaks.