How does candidate order on the ballot affect voting behavior when voters rank candidates? I extend the analysis of ballot order effects to electoral systems with ordinal ballots, where voters rank candidates, including ranked-choice voting (RCV). First, I discuss two types of ballot order effects, including “position effects”—voters vote for specific candidates because of their ballot positions—and “pattern ranking”—voters rank candidates geometrically given their grid-style ballots. Next, I discuss experimental designs for identifying and estimating these effects based on ballot order randomization. Moreover, I illustrate the proposed methods by using survey and natural experiments based on mayoral and congressional RCV elections in 2022. I find that while voters seem less susceptible to specific ballot positions, ballot design can still impact voters’ ranking behavior via pattern ranking. This work has several implications for ballot design, survey research, and ranking data analysis. First, it shows that pattern ranking may affect electoral outcomes in RCV and other systems even when ballot order is fully randomized. Consequently, it may be worth considering an alternative solution to ballot order effects, which does not solely depend on randomization or rotation. Second, similar effects may impact any survey research using ranking questions. Future research must investigate the statistical consequences of pattern ranking for survey research. Finally, ranking data allow researchers to study diverse quantities of interest while targeting many different substantive questions. However, this flexibility also implies that analyzing ranking data can be prone to arbitrary analysis.