The abundance patterns in Population II red giants provide information about galactic chemical evolution and nucleosynthesis sites for various chemical elements. These patterns were first revealed by moderate-S/N photographic spectra and are now being refined and extended to additional chemical elements and fainter stars with high-S/N data. The well-established features include overabundances of O and Ca, underabundances of s-process elements, and solar ratios of heavy r-process elements. An excess of nickel found by us on moderate-S/N spectra is less certain, and should be checked with high-S/N data. New information on oxygen abundances in Population II red giants is becoming available from high-S/N observations of weak [O I] lines, and consistently indicates an oxygen overabundance due to the preferential sampling in Population II stars of ejecta from massive stars of previous generations. Recent studies of highly evolved, post-AGB Population II stars are revealing remarkable overabundances of light elements (C, N, O, and S) and deficiencies of the heaviest elements; these are probably signatures of internal nucleosynthesis followed by mixing up to, or exposure by mass loss at, the stellar surface.