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The two main alternatives are the Bachmann knot and the Klemheist knot (see also the Tarbuck knot).
It is used similarly to a Prusik knot or the Bachmann knot to ascend or descend a climbing rope.
A prusik, Klemheist knot, or Bachmann knot may be used as safety back-up, also called a "third hand," and is used as a back-up in the case of the abseiler losing control of the abseil.