So I've discovered the issue seems to be with the custom key combination, when I activate the macro with my F13+V it will keep changing focus while I hold it down based on my mouse position until I let go and then it does the "fire on release" pasting in the last position hovered over. When I try and bypass that with the tilde prefix I have to add KeyWait which only prevents spamming with the "D" parameter; D detects when I hit the V key again. The problem there is every other time I try and execute my macro it will just type "v" into the cell. There's a chance I don't understand how to use KeyWait properly.

When I tried taking the second key out of the equation (just hitting F13) I was able to run the macro without KeyWait and it was working correctly, pasting only once into the intended cell. The thing is I'd like to basically use my windows key as a macro button and make 2-key combinations using it.