The effects of bio-based strengthening agents and mineral filling procedure on the 3D elongation of chemi-thermomechanical pulp (CTMP) handsheets with and without mineral (PCC) filling have been investigated. The 3D elongation was measured using a press-forming machine equipped with a special converting tool. The strength of the handsheets was altered using either cationic starch or microfibrillated cellulose. Precipitated calcium carbonate (PCC) was added to the furnish either as a slurry or by precipitation of nano-sized PCC onto and into the CTMP fibre. The 3D elongation of unfilled sheets was increased by the dry-strengthening agents, but no evidence on the theorised positive effect of mineral fill on 3D elongation was seen in either filling method. The performance of the strengthening agent depended on whether the PCC was as slurry or as a precipitated PCC-CTMP. The starch was more effective with PCC-CTMP than when the PCC was added directly as a slurry to the furnish, whereas the opposite was observed with microfibrillated cellulose. The 3D elongation correlated positively with the tensile strength, bursting strength, tensile stiffness, elastic modulus and bending stiffness, even when the sheet composition was varied, but neither the strengthening agent nor the method of PCC addition affected the 3D elongation beyond what was expectable based on the tensile strength of the sheets. Finally, mechanisms affecting the properties that correlated with the 3D elongation are discussed.