Key-value stores (KVSs) have found wide application in modern software systems. For persistence, their data resides in slow secondary storage, which requires KVSs to employ various techniques to increase their read and write performance from and to the underlying medium. Emerging persistent memory (PMem) technologies offer data persistence at close-to-DRAM speed, making them a promising alternative to classical disk-based storage. However, simply drop-in replacing existing storage with PMem does not yield good results, as block-based access behaves differently in PMem than on disk and ignores PMem’s byte addressability, layout, and unique performance characteristics. In this paper, we propose three PMem-specific access patterns and implement them in a hybrid PMem-DRAM KVS called Viper. We employ a DRAM-based hash index and a PMem-aware storage layout to utilize the random-write speed of DRAM and efficient sequential-write performance PMem. Our evaluation shows that Viper significantly outperforms existing KVSs for core KVS operations while providing full data persistence. Moreover, Viper outperforms existing PMem-only, hybrid, and disk-based KVSs by 4–18x for write workloads, while matching or surpassing their get performance.