Paterson station consists of a single platform. It is serviced by NSW TrainLinkHunter line services travelling between Newcastle and Dungog. There are five services in each direction on weekdays, with three on weekends and public holidays.[5]
Opposite the platform is a 1,820 metre crossing loop. In the mid-1980s, the Rail Motor Society established its base on the site of the former freight yard opposite the station.[6][7]