The fourth pin, Vcap, would be frustrating, because using two vias to place a capacitor on the opposite side of the IC is labor-intensive, and using two vias to place a capacitor beside the IC is a bit of an unnecessarily long signal path for a filtering component. I'd rather gouge a hole and solder a capacitor directly onto the IC between Vcc and Vcap, but "gouge a blind hole in the dielectric and solder an 01005 capacitor to the IC" is not a commercially viable answer either.
Maybe pray your design doesn't need Vcap or that this can be tied to GND?
Proper via-in-pad is a cost adder, because there's an extra step to backfill the vias with metal. Unfortunately it hasn't trickled down to hobbyist 4-layer processes yet.
For high-ball-count FPGAs, it sounds super tedious to prep. And obviously it's a no-go for machine assembly. But for smaller stuff it sounds feasible!