Raleigh, NC (SportsNetwork.com) - Kyle Thompson birdied the second playoff hole on Sunday to defeat Patton Kizzire and Miguel Angel Carballo and win the Rex Hospital Open for the third time.

Thompson, the second-round leader who shot a 4-under 67 to finish regulation tied with Kizzire and Carballo at 17-under-par 267, now has four career victories on the Web.com Tour, including three at this event. He also won here in 2007 and 2011.

Kizzire carded a 5-under 66 in his round, while Carballo came from way back with a 7-under 64 to join the playoff at TPC Wakefield Plantation.

Scott Parel (65) and Drew Scott (68) shared fourth place at 16-under 268, while third-round leader Harold Varner III (71) tied for sixth with Chase Wright (69) at minus-15.

The trio traded pars on the first playoff hole and went back to the par-4 18th one more time. After Thompson watched Kizzire and Carballo make par once again, he ended things with a 4-foot birdie conversion for the win.

"I knew I had to make it to win. I thought 'just go through the same routine that I did 50 times this week. The putt's the same today as it was Thursday morning,'" said Thompson. "It's very emotional. I can't even put into words what it means to win this golf tournament. I had total belief that I was going to win this tournament, but I don't know where that came from.

"It means I get to keep playing golf for a living. It really does. If I miss the cut, I'm looking for a job. Literally, I'm at the end of my rope. Miracles happen."

The top of the leaderboard did not really start to take shape until later on in the round.

Thompson started his round well with birdies on one and four, getting him up to 15-under. Following four straight pars from five, Thompson slipped up with a bogey on nine.

He did not dwell on that long, however, as Thompson drained three straight birdies from No. 10 to take the outright lead at minus-17.

A bogey on 14 briefly dropped Thompson back to 16-under, but he came right back with another gain at 15, which pulled him even with Kizzire in the lead at the time. Thompson finished up with a trio of pars to join the playoff.

Kizzire did most of his work on the front nine, mainly the first five holes as he drained four birdies in five holes from one, getting him to 16-under. He fell back a shot with a bogey on six and then made the turn with four straight pars.

The 29-year-old poured in his fifth birdie at No. 11 and later added another gain at the par-5 15th, which gave him the outright lead at the time. While Thompson and Carballo later joined him, Kizzire ended with three straight pars.

Carballo had a big front nine that featured back-to-back birdies on three and four as well as at eight and nine. Still, Carballo was on the outside looking in and needed to make something happen on the back side if he wanted to have a chance.

Following five straight pars from 10, Carballo finished with a flourish, making birdies on three of his final four holes at 15, 17 and 18, which wound up earning the 36-year-old a spot in the playoff.

NOTES: Thompson played in just two events on tour this season prior to this week and he missed the cut at both ... His other win came at the 2007 Oregon Classic ... Carballo and Kizzire were both seeking their first wins on the Web.com Tour ... Carballo has two career PGA Tour victories ... Thompson earned $112,500 with this win ... The Web.com Tour is back in action again next week for the Greater Dallas Open, which is a new event.