There are troll mutants with this. Tyranny of Dragons has one in chapter 7, along with details shared below…

FOUR-ARMED TROLL

Sometimes when a troll loses a limb, it regenerates two limbs to replace the one it lost. This can result in trolls with multiple arms. A four-armed troll uses the troll stat block, except that it is a challenge rating 6 monster (2,300 XP) and has the following action instead of the troll’s normal Multiattack action:

Multiattack. The troll attacks five times, once with its bite and four times with its claws. If two or more claws hit the same target, the troll rends the target, dealing an extra 2d6 slashing damage.

https://www.thedrive.com/news/the-most-single-cab-truck-ever-was-built-to-haul-construction-materials

This is the community chalkboard that was built following the 2017 clash of Unite the Right rally protesters and counterprotesters that ended up with a vehicle being driven into a crowd, killing one and causing severe injuries to 35 others, as well as 14 other injuries unrelated to the vehicular attack. 2 state troopers also died in a crash of a helicopter related to the events.