We test extensions to the standard cosmological model with weak gravitational lensing tomography using 450 deg$^2$ of imaging data from the Kilo Degree Survey (KiDS). In these extended cosmologies, which include massive neutrinos, nonzero curvature, evolving dark energy, modified gravity, and running of the scalar spectral index, we also examine the discordance between KiDS and cosmic microwave background measurements from Planck. The discordance between the two datasets is largely unaffected by a more conservative treatment of the lensing systematics and the removal of angular scales most sensitive to nonlinear physics. The only extended cosmology that simultaneously alleviates the discordance with Planck and is at least moderately favored by the data includes evolving dark energy with a time-dependent equation of state (in the form of the $w_0-w_a$ parameterization). In this model, the respective $S_8 = sigma_8 sqrt{Omega_{rm m}/0.3}$ constraints agree at the $1sigma$ level, and there is `substantial concordance between the KiDS and Planck datasets when accounting for the full parameter space. Moreover, the Planck constraint on the Hubble constant is wider than in LCDM and in agreement with the Riess et al. (2016) direct measurement of $H_0$. The dark energy model is moderately favored as compared to LCDM when combining the KiDS and Planck measurements, and remains moderately favored after including an informative prior on the Hubble constant. In both of these scenarios, marginalized constraints in the $w_0-w_a$ plane are discrepant with a cosmological constant at the $3sigma$ level. Moreover, KiDS constrains the sum of neutrino masses to 4.0 eV (95% CL), finds no preference for time or scale dependent modifications to the metric potentials, and is consistent with flatness and no running of the spectral index. The analysis code is public at https://github.com/sjoudaki/kids450