The 'caster' of the Affliction controls the bestowed advantage, which is not the same as Unconscious Only or Uncontrollable.
In your example of a fireball attack the attack would originate spatialy from the target of the Affliction, but the controller would still be the caster of the Affliction, ie he would specify the target of the fireball and make other applicable decisions.
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Are there ever circumstances where it could be under the subjects control instead of the casters?
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Why not? Off the top of my head, I'd call it Cosmic, +50%. YMMV.