Here is a generalization to arbitrary finite metric spaces.  Recall that the Sylvester-Gallai theorem easily implies the following theorem.  

**Theorem to be generalized.** Every non-collinear set of $n$ points in the plane determines at least $n$ lines.  

Note that there is a definition of *line* in a metric space $(X, d)$ using the notion of betweenness, which I will now describe.  We say that a point $b$ is *between* points $a$ and $c$ if $d(a,b)+d(b,c)=d(a,c)$.  The line determined by two points $a$ and $b$ is then the set of points $c$ such that $c$ is between $a$ and $b$, or $a$ is between $c$ and $b$, or $b$ is between $a$ and $c$.  

**Chen-Chvatál Conjecture.** Every finite metric space on $n \geq 2$ points either has at least $n$ distinct lines or a universal line.  

This conjecture is still wide open, although there is a sort of industry of results proving it for restricted classes of metrics.  For example, there is this [paper](http://users.encs.concordia.ca/~r_kapad/papers/distancehereditary.pdf) of Aboulker and Kapadia which proves the Chen-Chvatál Conjecture for metrics coming from distance-hereditary graphs.  

Interestingly, it turns out that the Sylvester-Gallai theorem does not hold for all finite metric spaces.  However, there are no finite metric spaces for which it is known that the Chen-Chvatál Conjecture is false.