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The default key bindings for opening a focused link in Firefox are:
Enter: open the link in the current tab
Shift+Enter: open the link in a new window
Ctrl+Enter: open the link in a new tab (Cmd+Enter on MacOSX)
So why install this add-on?
This addon provides to a way to customize default key bindings for open the link.
So If you feel satisfied with default key bindings, you don't need this addon.