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Download the patch from the vmware website and upload it to the root of a local datastore.

Put the host into "Maintenance Mode"

Login to the console directly or enable SSH and connect.

Run the following command:

esxcli software vib install -d /vmfs/volumes/[DATASTORE]/[PATCH_FILE].zip

Reboot


References

http://www.chriscolotti.us/vmware/vsphere/how-to-patch-vsphere-5-esxi-without-update-manager/