Patient marking in active languages

I came to a puzzling question when considering case markings in active
languages.  From what I've read about active languages, they assign the
'agent' case to the argument that performs the action, and the 'patient'
case to the argument that gets the effects of the action.

What does an active language do for verbs that (arguably)
take two patients: own, be inside, overlook, ride, wear?  Do they assign
the "agent" role to one of the arguments, or use some other noun case, or
not express such relationships as a verb clause?

--Noktakanto

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