C10a‐Acetoxylated perhydroazepino[1,2‐a]‐indoles, accessible via visible light‐mediated sensitized photooxygenation of cyclo‐hepta[b]indoles, are precursors to structurally elaborate carbon‐centered radicals. Their photoredox‐catalyzed SET reduction by phenothiazine or phenoxazine photocatalysts, followed by fragmentation and C−O bond cleavage, liberates tricyclic α‐amino‐α‐carbonyl radicals that readily engage in radical addition reactions with silyl enol ethers and silyl ketene acetals. The C−C functionalized azepinoindole[1,2‐a]indoles are useful building blocks for the synthesis of polycyclic indole derivatives as shown by the controlled borohydride reduction of a C10a‐methylenecarboxylate derivative, which leads stereoselectively to tetracyclic azepino[1,2‐a]furo[3,2‐b]indoles. The photocatalytic method developed herein is also suitable for the radical functionalization of simple α‐acetoxy acetophenones.