These four accounts have been harassing Patricia and anyone she's friends with for several months at a minimum.
When she was 18 she was groomed into sharing nudes online by people 10 years older than her. At one point they coaxed her into masturbating in a voice call, and someone invited a 15 year old into the call, at which point they were told to leave and Patricia stopped until they left. This turned into an accusation that Patricia "masturbated in a Discord call with minors", intentionally, because she is secretly a pedophile.
From there, these accounts have tried gathering additional evidence from her public posts; this "evidence" consists of things like "she feels bad when villains are humiliated at the end of kids movies'", "a friend drew a pic of her at the beach wearing a swimsuit" (the claim being that, as an ageplayer, all art of Patricia as a kid must be sexual), and "she reblogged SFW fanart from an artist who started calling themselves a pedophile 9 months after she reblogged it". They've gone as far as to accuse her of lying about DID and creating little alters so she can act out pedophilic fantasies in public, based on absolutely nothing, all while her sideblog for her little alter Nix was posting stuff like "i want to eat a burger" and "i love rubiks cubes". She has been dealing with this for five years.
She tried arguing with them, repeatedly. But it didn't seem to matter, as her stalkers were using the logic of "Well, claim A doesn't mean anything on its own, but you must admit that it's very suspicious when you put it next to claims B, C, and D, none of which mean anything on their own either." Combine with the claim that she was encoding pedophilic intent into seemingly innocent posts, it is effectively a conspiracy theory, which is nearly impossible to falsify in the eyes of people who believe it.
(So, why does she have stalkers? Why would people go through all this trouble? Part of it's transmisogyny; she is not the first transfem musician to be falsely accused of pedophilia. But it's also from people who've gotten into bitter arguments with Patricia, like about whether trans men face discrimination that isn't generally for being trans, stumbled onto the pedo accusations, and saw it as a way to add a moral dimension to their dislike of her. Which probably is also transmisogyny)
I took the claims at face value too, I even made an RYM account with the intention of warning her fans there about her. If I hadn't checked to see her side of the story, I could have ruined her life. And now, by reporting her and removing her from the site, her side of the story is no longer visible.