They can be "completely different".
For example, some existence results have both indirect proofs and constructive proofs. There is often no way to interpret the "indirect proof" as "essentially the same" as the constructive proof.
Or you have the many different proofs of Quadratic Reciprocity. Gauss's first proof, in the Disquisitiones Arithmeticae, is very constructive; it is done by recursion, and for example it shows exactly how to transform a solution of $x^2\equiv p\pmod{q}$ into a solution of $x^2\equiv q\pmod{p}$ when $p$ and $q$ are not both congruent to $3$ modulo $4$; whereas his third proof was purely combinatorial, counting certain objects, and his sixth used Gauss sums, again an essentially different approach. Eisenstein used infinite products for his fifth proof, Kummer used quadratic forms, Zolotarev used permutations; Auslander and Tolimieri used the Fourier transform, Weil used theta functions. These are truly essentially different approaches, with no easy way to pare them down to the same thing (unless you "pare them down" to the statement of Quadratic Reciprocity itself).