diff --git a/packages/block-editor/src/components/block-pattern-setup/index.js b/packages/block-editor/src/components/block-pattern-setup/index.js
index d36bc4ae80aa16..b39aa070c529e3 100644
--- a/packages/block-editor/src/components/block-pattern-setup/index.js
+++ b/packages/block-editor/src/components/block-pattern-setup/index.js
@@ -28,6 +28,7 @@ const SetupContent = ( {
 	activeSlide,
 	patterns,
 	onBlockPatternSelect,
+	showTitles,
 } ) => {
 	const composite = useCompositeState();
 	const containerClass = 'block-editor-block-pattern-setup__container';
@@ -67,6 +68,7 @@ const SetupContent = ( {
 						pattern={ pattern }
 						onSelect={ onBlockPatternSelect }
 						composite={ composite }
+						showTitles={ showTitles }
 					/>
 				) ) }
 			</Composite>
@@ -74,7 +76,7 @@ const SetupContent = ( {
 	);
 };
 
-function BlockPattern( { pattern, onSelect, composite } ) {
+function BlockPattern( { pattern, onSelect, composite, showTitles } ) {
 	const baseClassName = 'block-editor-block-pattern-setup-list';
 	const { blocks, description, viewportWidth = 700 } = pattern;
 	const descriptionId = useInstanceId(
@@ -98,12 +100,17 @@ function BlockPattern( { pattern, onSelect, composite } ) {
 					blocks={ blocks }
 					viewportWidth={ viewportWidth }
 				/>
+				{ showTitles && (
+					<div className={ `${ baseClassName }__item-title` }>
+						{ pattern.title }
+					</div>
+				) }
+				{ !! description && (
+					<VisuallyHidden id={ descriptionId }>
+						{ description }
+					</VisuallyHidden>
+				) }
 			</CompositeItem>
-			{ !! description && (
-				<VisuallyHidden id={ descriptionId }>
-					{ description }
-				</VisuallyHidden>
-			) }
 		</div>
 	);
 }
@@ -139,6 +146,7 @@ const BlockPatternSetup = ( {
 	filterPatternsFn,
 	onBlockPatternSelect,
 	initialViewMode = VIEWMODES.carousel,
+	showTitles = false,
 } ) => {
 	const [ viewMode, setViewMode ] = useState( initialViewMode );
 	const [ activeSlide, setActiveSlide ] = useState( 0 );
@@ -165,6 +173,7 @@ const BlockPatternSetup = ( {
 					activeSlide={ activeSlide }
 					patterns={ patterns }
 					onBlockPatternSelect={ onPatternSelectCallback }
+					showTitles={ showTitles }
 				/>
 				<SetupToolbar
 					viewMode={ viewMode }
diff --git a/packages/block-editor/src/components/block-pattern-setup/style.scss b/packages/block-editor/src/components/block-pattern-setup/style.scss
index 79f5868176608e..c1b85f511d9514 100644
--- a/packages/block-editor/src/components/block-pattern-setup/style.scss
+++ b/packages/block-editor/src/components/block-pattern-setup/style.scss
@@ -7,6 +7,8 @@
 	border-radius: $radius-block-ui;
 
 	&.view-mode-grid {
+		padding-top: $grid-unit-05;
+
 		.block-editor-block-pattern-setup__toolbar {
 			justify-content: center;
 		}
@@ -29,10 +31,33 @@
 				cursor: pointer;
 			}
 
+			.block-editor-block-pattern-setup-list__item {
+				&:hover .block-editor-block-preview__container {
+					box-shadow: 0 0 0 2px var(--wp-admin-theme-color);
+				}
+
+				&:focus .block-editor-block-preview__container {
+					box-shadow: inset 0 0 0 1px $white, 0 0 0 var(--wp-admin-border-width-focus) var(--wp-admin-theme-color);
+
+					// Windows High Contrast mode will show this outline, but not the box-shadow.
+					outline: 2px solid transparent;
+				}
+				&:hover .block-editor-block-pattern-setup-list__item-title,
+				&:focus .block-editor-block-pattern-setup-list__item-title {
+					color: var(--wp-admin-theme-color);
+				}
+			}
 			.block-editor-block-pattern-setup-list__list-item {
 				break-inside: avoid-column;
 				margin-bottom: $grid-unit-30;
 
+				.block-editor-block-pattern-setup-list__item-title {
+					padding-top: $grid-unit-10;
+					font-size: 12px;
+					text-align: center;
+					cursor: pointer;
+				}
+
 				.block-editor-block-preview__container {
 					min-height: 100px;
 					border-radius: $radius-block-ui;
diff --git a/packages/block-library/src/query/edit/index.js b/packages/block-library/src/query/edit/index.js
index 07c841e607c216..e9b449c694b9c3 100644
--- a/packages/block-library/src/query/edit/index.js
+++ b/packages/block-library/src/query/edit/index.js
@@ -92,6 +92,7 @@ function PatternSelectionModal( {
 					blockName={ blockNameForPatterns }
 					clientId={ clientId }
 					onBlockPatternSelect={ onBlockPatternSelect }
+					showTitles={ true }
 				/>
 			</BlockContextProvider>
 		</Modal>