This is a Sadistic Choice where one option - often the "better" option - is that the victim kills themselves. Usually this is the preferred outcome for the one presenting the choice, making it a roundabout and particularly cruel method of murder, but at other times they could be attempting to prove that the victim isn't so good after all.
The victim's option after this may vary. They may very well kill themselves; then the one who ordered them either fulfilled the deal or not. They may try Faking the Dead if it is possible (and if the one ordering didn't bother to Make Sure He's Dead). They may have to think of a third option. Or a third party may stop all this.
See Better to Die than Be Killed when the victim kills themselves to defy their killer, rather than being given the option, and Leave Behind a Pistol, when the option of suicide is (ostensibly) a mercy to spare the victim dishonor, embarrassment, or going on with a life not worth living. See also Ordered to Die for a choice between disobedience and suicide.
If the victim chooses to kill themselves rather than make a choice, that's a Heroic Sacrifice Take a Third Option to a regular Sadistic Choice. If they don't realize that the choice they make will kill them (a door with a pit on the other side, for example), that's Tricked to Death.
As a death trope, beware of unmarked spoilers.
- Destiny of the Shrine Maiden: The priestess sacrifice ritual is essentially a dual sadistic choice, where they have to decide amongst themselves.
- Dororo, the samurai Tanosuke refused his lord's order to kill a man and was told to either kill him or suicide.
- Naruto: In the flashbacks when Madara has been defeated by Senju Hashirama. Hashirama, Madara's childhood friend, wants to end the feuding between their clans with a peace treaty. Madara, now jaded after the deaths of his brothers, says he doesn't trust the Senju, and Hashirama can only earn his trust, and therefore his co-operation with the peace treaty that would bring about Hashirama's lifelong dream of building a village where children could be kept safely away from war, is by either murdering Hashirama's only living brother Tobirama or committing suicide.
- In the fourth arc of Umineko: When They Cry, Kinzo Ushiromiya decides he's going to test which of his grandchildren is most worthy to become his successor as head of the family. The contents of the test, you ask? "In order to gain two, sacrifice one." A) Your Life B) Your lover's life C) everyone else's lives. George and Jessica actually do make somewhat shocking (albeit convincing) choices with their own brand of justification...only to take the bad guy by surprise by deciding to sacrifice none of the above and fighting back instead. But this being Umineko, they die horribly anyway.
- This is then averted in the seventh novel where its shown the test was used again by Kyrie and Rudolf but only to lure the cousins to where they would be killed one by one.
- Uta Kata has the heroine forced to choose between killing herself or killing the rest of humanity. She ends up refusing to choose and is saved when her mirror counterpart sacrifices herself for her.
- Yu-Gi-Oh!: Regular Yugi's duel with the Brainwashed and Crazy Joey, which is set up in such a way that he can't take a third option or someone (either him, Joey, or a kidnapped Tea) will die. He chooses to set himself up for death and save Joey and Tea. Which is followed by Joey setting himself up to die to try saving him. Luckily, either Kaiba (manga) or Serenity (anime) save Joey.
- This is how Liliana of the Veil's ultimate ability in Magic: The Gathering functions. You separate all permanents a player owns into two piles and get them to choose one, with the ideal way of playing this of course being to make sure it's a lose-lose no matter which way they pick.
- This is how most 'split into two piles' mechanics work, but in an interesting inverse, the vast majority of them have the initiating player do it to themselves and let their opponent decide which way the split happens. The idea is an inverse of the above Liliana example, where the initiating player chooses cards that will result in a good outcome no matter which pile they choose, with little room for the opponent to create a bad pile.
- The Star Trek CCG had a card called "Raise the Stakes" that gave the effected player a choice: either forfeit the game immediately or risk having to permanently hand over a card from their deck to their opponent should they lose the game. Notably, this is the only card from this game that was banned from tournament play.
- The first incarnation of Doom Patrol ended with one. Their archenemy General Zhal gave the Patrol the choice of nuking their location or nuking a small fishing village in Maine, a sacrifice that wouldn't be remembered. The Patrol's answer? "Fire away, Zhal!"
- A double version appeared in the Assault On New Olympus arc in The Incredible Hercules. Hephaestus traps Hercules and his teen partner Amadeus Cho in separate chambers, each with a Big Red Button. The only way for Herc to be free is if Cho pushes his button, which would remove the air from his chamber, killing him. Or Herc can push his button, saving Cho by sacrificing his life. Almost before Hephaestus finishes explaining the trap, Herc and Cho push both their buttons simultaneously, shorting out the system and releasing them both. This scene also counts as a heartwarming moment, showing that Herc and Cho would each sacrifice themselves for each other, no questions asked. Hephaestus neglected to consider this option and expresses his anger with a succinct "Frickin Hercules".
- Secret Six: Junior forces victims to choose whether they kill them or their family and friends. If they choose themselves, Junior kills them. If they choose their family, they kill them anyway and leave the body and a recording of them begging Junior to kill their family where the family will find it.
- In The Transformers: Last Stand of the Wreckers, Big Bad Overlord offers his prisoners the chance to compete in gladiatorial matches to the death. Anyone who wins twelve matches gets a choice - nobody has ever spoken to somebody who has made it, but knowing that Overlord is Ax-Crazy, the Sadistic part almost goes without saying. The choice? Commit suicide on the spot, or fight Overlord. The two options are one and the same.
- Ultimate FF: Doom left the team with one. Save the army of murderous fishmen from an alternate reality, or themselves?
- The wolf prince Hrimhari is given the chance to sacrifice his own life to save his love Rahne Sinclair of X-Factor. However, Rahne is pregnant with his child, and the one offering the deal will only save one person in exchange for Hrimhari. One life for one soul. Hrimhari subverts the choice by choosing to save the nearby mortally wounded Elixir instead, since Elixir has extremely powerful healing powers (no Healing Factor though, hence the "mortally wounded" issue) that could save Rahne and the child.
- In Volume I of the ongoing fanfic Dragon Ball X Denkuma offers Korros to kill himself to save Haven or let it be destroyed.
- Rainbow Factory: When workers find out the truth about the rainbow factory, namely that it uses equine resources to make rainbows, they're given a choice: keep their mouths shut and be party to the slaughter of countless foals whose only fault was failing a flight exam, or spare a foal only to take their place. Only twice was a foal's life spared-those of Fluttershy and Derpy Hooves.
- Split Second (My Little Pony) has Discord give one to Sparkle: Kill Fluttershy, and get a book with a spell that might save her life, kill her sister, and get her leg back so that Sparkle doesn't bleed to death, kill all 12 of mares present to get both, or do nothing and die. She takes a fifth option.
- From RWBY: Second Generation, Verse is forced into this in the final chapter of Volume 2. Cobalt offers Verse the choice to either kill himself or watch his teammates and friends die in front of him. With everyone else at gunpoint, he only has a few seconds to make a choice. He instead decides to Take a Third Option, and kills the people behind the gun, saving himself and his friends.
- A fanfic for BBC's Sherlock here the horrific cliffhanger ending of the series was continued upon in such a way that Moriarty offered this sort of choice to Sherlock, only instead of having him choose between two people, he was forced to choose between himself and John (with the threat of the full extent of Moriarty's madness hanging over John's head if he takes the third option). Being Sherlock, he takes the third option.
- Cars 2 features a rare example of the hero giving the villain a Sadistic Choice. At the climax of the film, Mater, having had a Time Bomb strapped to him that only the Big Bad can deactivate, quickly works out that the Big Bad is Miles Axelrod and confronts him in public while the timer is still ticking down. Miles is thus forced to choose between deactivating the bomb and outing himself as the villain, or dying a very fiery death. He chooses the former option (at the last second, naturally), and is arrested.
- In All Superheroes Must Die, the supervillain Rickshaw is putting four superheroes through a Death Course with captured citizens as leverage. One of these stages involves trying to force the heroes to kill themselves in exchange for Rickshaw releasing several hostages, but one of the heroes correctly figures out that their captor is lying and will kill them anyway, so he removes the choice by killing the hostage himself.
- At the end of Escape Room (2017), Tyler and Christen are each presented with a pair of buttons. One of them will save themselves, the other one will save their partner.
- In the Swedish film of Let the Right One In, Oskar is ambushed in the school swimming pool and given the "choice" to drown himself, or to have his eyeball gouged out. He is twelve years old. When Eli shows up and saves Oskar, there is no mercy for the bully responsible.
- Monster Party: When Elliot captures Casper and Alexis, he ties them up in chairs suspended over the swimming pool. Each of them has a knife taped to their hand which will allow them to cut the rope holding the other's chair: causing them to fall into the pool and drown. Elliot sets up a timer and tells them they have one minute for one of them to slice the other's rope or he will kill both of them.
- In Se7en the unseen perpetrator of a number of grisly murders disfigures a beautiful but vain woman, then gives her the choice: sleeping pills to kill herself or a phone to call for an ambulance. We figure out what choice she made as the police are examining her corpse.
- In Self Less, Damien is faced with one of these once he learns that the medicine he's been taking is all that stands between his continued existence and Mark Bitwell, the original owner of the body Damien's in, returning. If Damien continues to take the medicine, he'll live but Mark will fade away forever. If he stops taking the medicine, he'll fade away but Mark can return to his family. In the end, Damien chooses the latter.
- In Frostbite, Isaiah the Strigoi gave his captive Moroi, Christian Ozera and Mia Rinaldi, a sadistic choice. They could starve to death or drain the blood of their dhampir friends and turn into a strigoi. In addition, the one who chose this path condemned the other Moroi to death.
- N. K. Jemisin's Inheritance Trilogy: The theocratic Arameri dynasty gives heretics two choices — jump from the top of the palace, or get cooked from the inside out by a magical halberd that's cursed to prolong the experience. Yeine is horrified to learn that her mother once wielded the halberd.
- Life and Death: Twilight Reimagined: At the end of the book, Beau is bitten by a vampire and his transformation is irreversible. He now has to choose between dying on the spot or continue turning into a vampire.
- In Stephen King's short story, Riding the Bullet, the protagonist has to make a decision: either he or his mother will die soon. He saves himself and chooses his mother. She doesn't die, but he still knows that his choice was to let her die.
- Sword of Truth: In the second book of the Sword of Truth series, Stone of Tears, Kahlan encounters a man who had just tried to kill her hanging from a ledge, about to fall to his death. She gives him the choice of taking her hand and living the rest of his life as an essentially brainwashed slave or falling to his death. He chooses the latter.
- In Under the Yoke, a character suffers flashbacks to a Draka brainwashing technique that was used on him: being given control of the switch that directed current into one of two electric chairs, he being sat in one and his father in the other, so that he could only save his own life by committing patricide.
- In Elementary, Moriarity forces Moran to commit suicide by saying if he doesn't Moran's sister will be killed.
- The first episode of Sherlock revolves around a serial killer who apparently never directly kills their victims, but merely talks them into killing themselves, at gunpoint. However, there was technically a chance for them to survive the game.
- Serial Killer "Trinity" from season 4 kept killing people in cycles. His second victim of each cycle was a mother of two who was forced to jump to her death. He threatened them that he would do unspeakably horrible things to their family members had they not jumped.
- When the Koshka Brotherhood needs a Fall Guy in Season 7, they show up at a flunky's door with a pistol, some Liquid Courage, and instructions on how he's to write his suicide note. He protests, so they tell him that if he goes through with it, they'll take care of his family... and if he doesn't, they'll take care of his family. He does it. For extra-black irony, the police aren't fooled by his "confession" for a moment.
- Law & Order: Criminal Intent: A psychiatrist puts couples in a trap with a timer and forces couples to choose to kill their spouse or be killed and let their spouse live. He did this nine times and only an elderly couple choose the "altruistic" choice. The killer was inspired by the sadistic choice put to his grandfather during the Holocaust and was trying to prove that it was human nature to make the selfish choice.
- NCIS: "A Many Splendored Thing" starts with a navy officer being told to kill herself or her daughter will be killed. Two scenes later, NCIS is examining her body.
- Star Trek: Deep Space Nine:
- In the episode "Body Parts", Quark is diagnosed with a fatal illness, so he auctions off his soon-to-be remains, only to learn that the diagnosis was wrong and he was going to live. Unfortunately, the person who bought his no-longer-going-to-be remains was his nemesis, Brunt of the FCA, who leaves Quark with a choice. Option A is to fulfill the contract between them and find some way to die so Brunt can have the remains he bought and paid for. Option B is to break the contract, one of the gravest sins a Ferengi can commit, have all of his belongings liquidated, and have his commerce license revoked, rendering himself Persona Non Grata.
- The team in The White Vault find themselves in this scenario at the start of the second season. They can either stay at Outpost Fristed, with no food, knowing perfectly well that no one can hear their distress calls, and that a malicious, intelligent monster knows exactly where they are, how to cut their power, and how to open the door... or they can take their chances out in the arctic wasteland in the middle of a seemingly unending storm, travelling at least twelve hours in subzero temperatures (on foot, because the monster already sabotaged their vehicles), before they might reach civilization — and that's assuming the monster, the polar bears, or the storm doesn't finish them off before they get there. The first option is certain death, but the second offers the absolute slimmest chance at survival, and they all know it. They opt to leave the Outpost and everything that can go wrong immediately does. The monster takes one of their own, they're attacked by a polar bear, one member of the team gets frostbite, and they soon realize they've been Going in Circles, and end up right back at the Outpost.
- Darkest Dungeon: In the end, the Heir has seen too much and must choose between a life of insanity and a cowardly death. They choose the latter.
- In Dragon Age: Origins, the ending requires a Heroic Sacrifice (under most circumstances), and one of the people who can perform it is you.
- The Walking Dead: Episode 5: Morton's Suicidal Fork: At the end of the episode, you either let Clementine shoot you when you're about to succumb to the infection/blood loss, or just tell her to leave you for dead.
- Field Marshall Erwin Rommel was "allowed" to commit suicide by Hitler's orders instead of being executed for his suspected involvement in the July 20 Bomb Plot. The alternative would have been his execution along with that of his family - which would have been bad for morale and publicity, as Rommel earned himself quite the reputation both among the German people and with the Allies.