In the first Spider-Man movie referenced in the above quote, the Green Goblin offers Spidey this choice between perennial love interest Mary Jane and a cable car full of innocents. (He rescues both, but is forced to reject Mary Jane out of fear of his harsh superhero life. It all works out by the second one.) Although in this case, the only real challenge was the cable car's weight. A similar situation happened with Gwen Stacy in the comics, but Spidey's attempt to Take a Third Option didn't go as well as it did in the movie.
Wreck-It Ralph has to make this choice at the request of King Candy: either destroy "Glitch" character Vanellope Von Schweetz's car, along with Ralph's friendship with her, or allow Vanellope to race, get on the roster, glitch, and have the game get pulled from the plug, which would kill her since she cannot escape to Game Central Station because she's a glitch. Only after he made his choice did he find out that King Candy wasn't entirely truthful and wanted Vanellope out for ulterior motives. • Plays with the trope in that King Candy only asked Ralph "to talk a little sense into her." Destroying the cart was a conclusion Ralph came to on his own.
In Captain America: The First Avenger, the HYDRA spy attempts to make Steve Rogers choose between going after him or saving a little boy he's held hostage. Before Steve can do anything, the spy tosses the kid into the water. As it turns out, the kid's a good swimmer, as he then encourages Steve to go get the spy.
In Barbie In A Mermaid Tale 2, Merliah must choose whether to lose her legs and stop Eris or keep them and let Eris take over again.