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In his junior campaign, Elflein started all 13 games at the right guard spot for a Buckeye squad that finished 12-1 and capped their season with a 44-28 win over Notre Dame in the Fiesta Bowl. He received second-team All-American status by the Associated Press (AP) and Sports Illustrated for his dominant play. He was also named first-team All-Big Ten Conference for the second consecutive year by the league’s head coaches and also by the media as he helped pave the way for Ohio State to lead the Big Ten in rushing at 245.2 yards per game and finish second in the conference in scoring and third in total offense.

"A doozy of a find in Round 3, and well worth trading up from No. 79 to get him. Elflein was the best center in this draft, and I think he can be Minnesota’s man in the middle for years to come."

In 2019, Elflein was moved to left guard after the Vikings drafted Garrett Bradbury in the first round of the 2019 draft to play center.

After undergoing shoulder and ankle surgeries, Elflein missed the first three games of the 2018 season. He returned to the starting lineup in Week 4 at center, and remained there the rest of the season.

Elflein was drafted by the Minnesota Vikings with the 70th overall pick in the third round of the 2017 NFL Draft. The Vikings traded up for the second time on Friday night, sending No. 79 and a fifth-round pick to the New York Jets in order to acquire the 70th overall selection. The day after the Draft, the Vikings announced Elflein will wear No. 65, the same number he wore at Ohio State.

Prior to his senior year in 2016, Elflein handled a position switch, moving from guard to the center position as a fifth-year senior, with aplomb, starting all 13 games for the Buckeyes. He ended up garnering the Rimington Trophy as the nation’s top center and helping Ohio State make the College Football Playoff semifinals. Elflein also was one of three finalists for the Outland Trophy and won the Pace Big Ten Offensive Linemen of the Year. Elflein was named the Rimington–Pace Offensive Lineman of the Year and was a First Team All-Big Ten selection in 2016. Along with Malik Hooker, they became the first pair of Buckeye teammates to be named consensus All-Americans in the same year since Orlando Pace and Eddie George back in 1995.

Elflein earned the first of his three first-team All-Big Ten seasons as a sophomore, starting all 15 games including the 2015 College Football Playoff National Championship. He opened the season at left guard and started the first three games there, but moved to right guard for the final 12 games, helping lead the Buckeyes to a Top 10 national ranking in rushing with just over 264 yards per game as he and his offensive line teammates paved the way for Ezekiel Elliott to become the first running back in school history to rush for 200 yards in consecutive games. The offense was outstanding all around, with school records for touchdowns (90), points scored (637), passing yards (3,707) and passing touchdowns (42) as well.

As a redshirt freshman in 2013, Elflein earned his first varsity letter playing in all 14 games as a reserve offensive lineman when Corey Linsley was the Buckeyes’ senior center. On September 21, he played 57 snaps on offense in the Buckeyes' overwhelming win over Florida A&M and then had several series worth of offensive snaps against Penn State and Purdue before being called in to play three quarters against Michigan in week 12. His play against the Wolverines in the one-point win earned him the start in the Big Ten championship game against Michigan State.

Elflein redshirted his first year at Ohio State in 2012 due to a foot injury. Elflein was one of only two starters returning in 2015 and served as a captain for the 2016 season, his senior season in which he won the Rimington Trophy and was a finalist for the Outland Trophy. He graduated with a communications degree and finished his career as a graduate student, and prior to receiving his degree, he earned three OSU Scholar-Athlete awards and one Academic All-Big Ten Conference honor. He was a first-team All-Big Ten in each of his final three seasons.

Born in Pickerington, a suburb of Columbus, Ohio, Elflein attended Pickerington High School North. A four-year football letterman and a two-time football team captain, Elflein earned 12 letters in his high school career, four each in the sports of football, wrestling and track and field. He was named in football to All-Ohio Capital Conference, All-Central District and to the Dispatch's All-Metro teams. He was the 2011 wrestler of the year in the OCC as he qualified for both the state and national tournament. Elflein also excelled on the track and field team; as an eighth grader, he won a division title in the shot put, and his best throw was 50'11" (15.52 meters).

Ranked as the No. 22 guard prospect in the nation by ESPN and No. 31 by Scout.com, Elflein didn’t wrestle with his decision about which school to attend once he received a scholarship offer from the Ohio State University, committing in July 14, 2011. As a result, the Buckeyes' recruiting class secured two of the 2011 Associated Press (AP) first-team Division I all-state offensive linemen in Elflein and Jacoby Boren (from cross-town school Pickerington High School Central).

Patrick Elflein (born July 6, 1994) is an American football guard for the Minnesota Vikings of the National Football League (NFL). He played college football at Ohio State, where he won the Rimington Trophy as a senior in 2016. Elflein was drafted by the Vikings in the third round of the 2017 NFL Draft.