For the first part, the most elegant way (that I know of) to see this is through anomaly inflow, where a $d$-dimensional anomalous QFT$_d$ cannot be consistently defined in $d$ dimensions, but rather must be accompanied by a Symmetry Protected Topological phase in one higher dimension (SPT$_{d+1}$) carrying edge modes which exactly compensate for the anomaly.
Now, suppose that you calculated the anomaly in the UV. Equivalently you found the invertible theory corresponding to the non-trivial SPT$_{d+1}$ phase which captures the anomaly. I.e. you found $Z_{\text{SPT}}[A]$, such that:
$$Z[A^\lambda]Z_{\text{SPT}}[A^\lambda] \overset{!}{=} Z[A]Z_{\text{SPT}}[A],$$
where now $A$ is extended into the bulk. Keeping in mind the 't Hooft anomaly matching conditions, you flow with the RG all the way to the IR. With you flows also the SPT$_{d+1}$ phase. Any non-trivial SPT$_{d+1}$ phase can't have a unique ground state when placed on an open manifold (here it is necessarily placed on an open manifold since you want its boundary to be the original anomalous QFT$_d$). Translated back to QFT this means that the IR of your QFT cannot be trivially gapped. The IR should then either be gapped but non-trivial, i.e. a TQFT, or gapless, or SSB must occur.
As for the question about "how can the other possibilities have an ambiguous partition function?", notice that $A$ here is a background gauge-field, namely you can choose its value, tune it and not move it around. The partition function is perfectly well defined and unambiguous. The ambiguity lies in the gauge transformations, but these would only be dangerous had the gauge fields been dynamical. In the background case, when you don't look no one is going to mess with your gauge field, so everything's fine.
For your second question, if I understand correctly, what you claim is believed to be true. In particular adding $G$-symmetric interactions in the UV move you around the same deformation class in the words of Seiberg. Then your claim follows from Seiberg's claim [1], that: "All the theories in the same deformation class (obtained by adding such degrees of freedom and varying the parameters) have the same symmetries and anomalies". Even if I don't understand your question correctly, it is still probably very related to the aforementioned Seiberg claim.
Reference
[1] N. Seiberg, Thoughts about Quantum Field Theory, talk at Strings 2019