what if it was trolleylemma 40,000 and the lever is this guy:

and you have to beat him up to get him to switch the tracks, and also if not enough people die in this tragedy the hive-city won't have enough corpse starch to make enough ration bricks this cycle. but also if the trains are disrupted then the industrial output of the sector will drop below acceptable levels and trigger a purge by the Adeptus Arbites (who are like an army of judge dredds but with cybernetic killdogs)