In recent years, AI-based software engineering has progressed from pre-trained models to advanced agentic workflows, with Software Development Agents representing the next major leap. These agents, capable of reasoning, planning, and interacting with external environments, offer promising solutions to complex software engineering tasks. However, while much research has evaluated code generated by large language models (LLMs), comprehensive studies on agent-generated patches, particularly in real-world settings, are lacking. This study addresses that gap by evaluating 4,892 patches from 10 top-ranked agents on 500 real-world GitHub issues from SWE-Bench Verified, focusing on their impact on code quality. Our analysis shows no single agent dominated, with 170 issues unresolved, indicating room for improvement. Even for patches that passed unit tests and resolved issues, agents made different file and function modifications compared to the gold patches from repository developers, revealing limitations in the benchmark’s test case coverage. Most agents maintained code reliability and security, avoiding new bugs or vulnerabilities; while some agents increased code complexity, many reduced code duplication and minimized code smells. Finally, agents performed better on simpler codebases, suggesting that breaking complex tasks into smaller sub-tasks could improve effectiveness. This study provides the first comprehensive evaluation of agent-generated patches on real-world GitHub issues, offering insights to advance AI-driven software development.