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Node.js Backend Patterns provides a comprehensive framework for building robust, maintainable server-side applications. It guides users through implementing structured architectural patterns like Controller-Service-Repository and Dependency Injection to ensure code remains testable and organized as it scales. The skill covers critical production requirements including JWT authentication, role-based access control, type-safe validation with Zod, and optimized configurations for both Express and Fastify frameworks. It is an essential resource for developers moving from basic scripts to professional-grade microservices and RESTful APIs.