CanvasPattern.setTransform()

setTransform(matrix)

<canvas id="canvas"></canvas> <svg id="svg1"></svg>

var canvas = document.getElementById("canvas");
var ctx = canvas.getContext("2d");

var svg1 = document.getElementById("svg1");
var matrix = svg1.createSVGMatrix();

var img = new Image();
img.src = "canvas_createpattern.png";

img.onload = function () {
  var pattern = ctx.createPattern(img, "repeat");
  pattern.setTransform(matrix.rotate(-45).scale(1.5));
  ctx.fillStyle = pattern;
  ctx.fillRect(0, 0, 400, 400);
};

<canvas id="canvas" width="400" height="200" class="playable-canvas"></canvas>
<svg id="svg1" style="display:none"></svg>
<div class="playable-buttons">
  <input id="edit" type="button" value="Edit" />
  <input id="reset" type="button" value="Reset" />
</div>
<textarea id="code" class="playable-code" style="height:120px">
var img = new Image();
img.src = 'canvas_createpattern.png';
img.onload = function() {
  var pattern = ctx.createPattern(img, 'repeat');
  pattern.setTransform(matrix.rotate(-45).scale(1.5));
  ctx.fillStyle = pattern;
  ctx.fillRect(0,0,400,400);
};</textarea
>

var canvas = document.getElementById("canvas");
var ctx = canvas.getContext("2d");
var textarea = document.getElementById("code");
var reset = document.getElementById("reset");
var edit = document.getElementById("edit");
var code = textarea.value;

var svg1 = document.getElementById("svg1");
var matrix = svg1.createSVGMatrix();

function drawCanvas() {
  ctx.clearRect(0, 0, canvas.width, canvas.height);
  eval(textarea.value);
}

reset.addEventListener("click", function () {
  textarea.value = code;
  drawCanvas();
});

edit.addEventListener("click", function () {
  textarea.focus();
});

textarea.addEventListener("input", drawCanvas);
window.addEventListener("load", drawCanvas);