How to get the top X results of a given category using Ecto?

Background

I have to queries that return a colossal amount of data on their own. I cannot use Repo.all as doing so would materialize these into memory, which would then quickly run out.

So I am trying to push as much as I can to the pSQL DB, and force the DB to do as much work as possible.

My issue starts with 2 queries.

This ones counts fruits and veggies and aggregates everything into a neat map.

all_counts =
      table_A
      |> join(:left, [item_A], item_B in table_B,
        on:
          item_A.home_id == item_B.home_id and
            item_A.path == item_B.path
      )
      |> select([unfiltered_item, filtered_item], %{
        path: item_A.path,
        item_fruits_count: coalesce(item_A.fruits, 0),
        item_veggies_count: coalesce(item_B.veggies, 0),
        dataset_id: item_A.home_id
      })
      |> subquery()

The second one, joins 2 tables as well (items and photos), with nothing fancy:

file_info =
      table_C
      |> join(:inner, [item], file in table_D,
        on:
          item.id == file.item_id and not file.deleted
      )
      |> select([item, file], %{
        item_id: item.id,
        home_id: item.home_id,
        path: item.path,
        photo_key: file.photo_key
      })
      |> subquery()

Problem

Now the problem is that I need to merge these 2 together.
At first, one would think to do something like this:

result =
      all_counts
      |> join(:inner, [c], f in ^file_info, on: c.home_id == f.home_id and c.path == f.path)
      |> select([c, f], %{
        item_id: f.item_id,
        home_id: f.home_id,
        path: f.path,
        photo_key: f.photo_key,
        # ... you get the idea
      })
      |> Repo.all()

But this creates an issue, namely, the it will return so much data, the machines will run out of memory.

Approach

The approach I am using to solve this problem is to group items by home_id and path (since that is unique for each destination) and then return only a portion of the data I need, lets say, the top 3 items ordered by id.

Source:

Here is where my difficulties begin.
I cannot use pSQL directly, I must use Ecto (for reasons beyond this post).

Normally I would use CTEs or row_number():

With ctes:

 WITH cte AS
  ( SELECT name, value,
           ROW_NUMBER() OVER (PARTITION BY name
                              ORDER BY value DESC
                             )
             AS rn
    FROM t
  )
SELECT name, value, rn
FROM cte
WHERE rn <= 3
ORDER BY name, rn ;

With row_number:

SELECT name, value, rn
FROM 
  ( SELECT name, value,
           ROW_NUMBER() OVER (PARTITION BY name
                              ORDER BY value DESC
                             )
             AS rn
    FROM t
  ) tmp 
WHERE rn <= 3
ORDER BY name, rn ; 

However, I am not familiar enough with Ecto to know how to use them.

With CTEs, I understand I should avoid them, as they serve no purpose in Ecto:
https://hexdocs.pm/ecto/Ecto.Query.html#with_cte/3

With row_number() I would need to partition by both home_id and path (2 fields) instead of one:
https://hexdocs.pm/ecto/Ecto.Query.WindowAPI.html#row_number/0

Question

How do I get the result, to return the top 3 results, grouped by home_id and path and ordered by item_id using Ecto?