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Pattern formation driven by differential strain in constrained elastic systems is a common motif in many technological and biological systems. Here we introduce a biologically motivated case of elastic patterning that allows us to explore the conditions for the existence of local puckering and global wrinkling patterns: a soft growing composite ring adhered elastically to a constraining rigid ring. We explore how differential growth of the soft ring and the elastic resistance to shear and stretching deformations induced by soft adherence lead to a range of phenomena that include uniform aperture-like modes, localized puckers that are Nambu–Goldstone-like modes and global wrinkles in the system. Our analysis combines computer simulations of a discrete rod model with a nonlinear stability analysis of the differential equations in the continuum limit. We provide phase diagrams and scaling relations that reveal the nature and extent of the deformation patterns. Overall, our study reveals how geometry and mechanics conspire to yield a rich phenomenology that could serve as a guide to the design of programmable localized elastic deformations while being relevant for the mechanical basis of biological morphogenesis.