Does the Legend of Zelda example in the Fanfiction section really count? I haven't read it but it seems that it's a just a mixing of the two other ways rather than a new third way.

Removed non-example:

• Subverted in Infamous, where despite the myriad of powers Cole has at that point in the game, he either can't think up or doesn't take a Third Option, and chooses either the six doctors or Trish in a Karma Moment. This Karma Moment could count as an Aversion instead though, because Trish dies no matter what you do - if you pick the 'wrong' / Bad Karma choice, the Trish you save turns out to be a decoy and the real Trish was among the six doctors you failed to save.