Your question talks about both EM radiation and leptons. Fusion can involve one, the other, both, or neither.
Leptons
To start with leptons, the relevant fusion reactions here are not purely strong processes. As you correctly note, a purely strong process can’t (intrinsically) involve leptons.
Consider the beta decay of a neutron. This decay is mediated by the weak interaction. In the decay, a neutron turns into a proton, electron, and antineutrino. Since the neutron has more mass than that collection of daughter particles, this decay is energetically allowed.
However (as you know), if the neutron is embedded in a nucleus, the strong interaction plays a role in allowing or forbidding the neutron’s decay. A neutron in a nucleus is in a bound state with the other protons and neutrons thanks to the strong force, and altering that bound state by turning a neutron into a proton (plus the leptons that leave the decay) may cost net energy, even if the “bare” neutron decay releases energy. In cases with a net energy cost for neutron decay, the nucleus is stable to that decay path.
Second, consider the “beta decay” of a proton. If a naked proton could do this, it would look like: proton --> neutron + positron + neutrino. The weak interaction fundamentally sees this in exactly the same light as neutron decay. They are both perfectly fine physical processes. When energy conservation is taken into account, we see that the proton is lighter than the neutron (nevermind the sum of all three daughter particles), so proton beta decay doesn’t happen in vacuum.
However, if the proton is embedded in a nucleus, proton beta decay may be energetically favorable in light of the energetics of the nuclear bound state. In those cases, proton beta decay does happen (e.g., carbon-11, sodium-22).
In both cases above, we are seeing the weak decay of a nucleon (proton or neutron), with the energetics of the process – including whether it is even allowed or not – being influenced by the details of bound state the nucleon is a part of. The bound state is itself governed largely by the strong force.
The simplest fusion process is proton + proton --> proton-neutron (bound) + positron + neutrino. The bound state is just deuterium, which is energetically favorable enough due to the strong force to be stable. In the case of fusion, this favorable bound state also allows proton beta decay to occur if you can get two protons into suitable initial conditions.
So, the weak force and the strong force are both critical pieces of the p-p fusion story. And as you mention, positron annihilation leads to gamma rays as a side effect.
Gamma rays directly
If the number of neutrons and protons is conserved throughout the fusion reaction, then the weak interaction is not needed. There are a number of favorable reactions, though, where you would want to end up with a single object in the end. For example, you can squish a proton into carbon-12 to make nitrogen-13, and that’s energetically favorable. However, it is impossible to conserve overall energy and momentum unless you have two bodies in the final state. The only candidate for that extra product is a gamma ray. So, the electromagnetic force is part of the story in these reactions (e.g., 12C + p --> 13N + gamma) just like the weak force was in p-p fusion.
Neither leptons or gammas
The process 2H + 2H --> 3H + 1H is both energetically allowed and has a two-body final state. Processes like these need neither the weak force or the electromagnetic force to proceed.
Gamma rays indirectly
In all situations where a nucleus is being created or altered, the result may not be in the lowest energy state (the “ground state”). Just like an atomic system (nucleus + electrons) can be in an excited state that will eventually decay by emitting photons, so too can a nuclear system be in an excited state. And a violently created nucleus has a good chance of not being in the ground state at birth. To shed energy and rearrange the nucleons into a happier lower-energy configuration, something has to be emitted, and a photon is usually the only viable candidate.