No, it means that if you are holding a modifier key while activating the macro, it will cast Metamorphosis.
http://www.macroexplain.com/
The format is mod
:ctrl not mod
;ctrl. You also need to be sure that you don't already have Ctrl+whatever key already bound to something else. Or in the case of using a different modifier, that mod+key combination isn't already bound to something. Tab is not a valid modifier.
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