diff --git a/CMakeLists.txt b/CMakeLists.txt
index 3833e83a..969abb2b 100644
--- a/CMakeLists.txt
+++ b/CMakeLists.txt
@@ -268,6 +268,8 @@ target_sources(
           src/utils/macro-export-import-dialog.hpp
           src/utils/macro-list.cpp
           src/utils/macro-list.hpp
+          src/utils/macro-run-button.cpp
+          src/utils/macro-run-button.hpp
           src/utils/macro-segment-selection.cpp
           src/utils/macro-segment-selection.hpp
           src/utils/math-helpers.cpp
diff --git a/data/locale/en-US.ini b/data/locale/en-US.ini
index 81179a02..1cae4792 100644
--- a/data/locale/en-US.ini
+++ b/data/locale/en-US.ini
@@ -79,6 +79,7 @@ AdvSceneSwitcher.macroTab.edit.action="Action type:"
 AdvSceneSwitcher.macroTab.add="Add new macro"
 AdvSceneSwitcher.macroTab.name="Name:"
 AdvSceneSwitcher.macroTab.run="Run macro"
+AdvSceneSwitcher.macroTab.runElse="Run macro (else)"
 AdvSceneSwitcher.macroTab.runFail="Running \"%1\" failed!\nEither one of the actions failed or the macro is running already."
 AdvSceneSwitcher.macroTab.runInParallel="Run macro in parallel to other macros"
 AdvSceneSwitcher.macroTab.onChange="Perform actions only on condition change"
diff --git a/forms/advanced-scene-switcher.ui b/forms/advanced-scene-switcher.ui
index 3e418ba9..9a37330c 100644
--- a/forms/advanced-scene-switcher.ui
+++ b/forms/advanced-scene-switcher.ui
@@ -843,7 +843,7 @@
               <widget class="QLineEdit" name="macroName"/>
              </item>
              <item>
-              <widget class="QPushButton" name="runMacro">
+              <widget class="advss::MacroRunButton" name="runMacro">
                <property name="text">
                 <string>AdvSceneSwitcher.macroTab.run</string>
                </property>
@@ -4849,6 +4849,11 @@
    <header>macro-segment-list.hpp</header>
    <container>1</container>
   </customwidget>
+  <customwidget>
+   <class>advss::MacroRunButton</class>
+   <extends>QPushButton</extends>
+   <header>macro-run-button.hpp</header>
+  </customwidget>
  </customwidgets>
  <resources/>
  <connections/>
diff --git a/src/advanced-scene-switcher.hpp b/src/advanced-scene-switcher.hpp
index 967fb9ef..161d330c 100644
--- a/src/advanced-scene-switcher.hpp
+++ b/src/advanced-scene-switcher.hpp
@@ -101,7 +101,6 @@ public slots:
 	void on_macroUp_clicked();
 	void on_macroDown_clicked();
 	void on_macroName_editingFinished();
-	void on_runMacro_clicked();
 	void on_runMacroInParallel_stateChanged(int value);
 	void on_runMacroOnChange_stateChanged(int value);
 	void on_conditionAdd_clicked();
diff --git a/src/macro-core/macro-tab.cpp b/src/macro-core/macro-tab.cpp
index 3f6e8d46..4bb78bd8 100644
--- a/src/macro-core/macro-tab.cpp
+++ b/src/macro-core/macro-tab.cpp
@@ -451,21 +451,6 @@ void AdvSceneSwitcher::on_macroName_editingFinished()
 	RenameMacro(macro, newName);
 }
 
-void AdvSceneSwitcher::on_runMacro_clicked()
-{
-	auto macro = GetSelectedMacro();
-	if (!macro) {
-		return;
-	}
-
-	bool ret = macro->PerformActions(true, true, true);
-	if (!ret) {
-		QString err =
-			obs_module_text("AdvSceneSwitcher.macroTab.runFail");
-		DisplayMessage(err.arg(QString::fromStdString(macro->Name())));
-	}
-}
-
 void AdvSceneSwitcher::on_runMacroInParallel_stateChanged(int value)
 {
 	auto macro = GetSelectedMacro();
@@ -792,6 +777,7 @@ void AdvSceneSwitcher::SetupMacroTab()
 		SLOT(MacroSelectionAboutToChange()));
 	connect(ui->macros, SIGNAL(MacroSelectionChanged()), this,
 		SLOT(MacroSelectionChanged()));
+	ui->runMacro->SetMacroTree(ui->macros);
 
 	ui->conditionsList->SetHelpMsg(
 		obs_module_text("AdvSceneSwitcher.macroTab.editConditionHelp"));
diff --git a/src/utils/macro-run-button.cpp b/src/utils/macro-run-button.cpp
new file mode 100644
index 00000000..88ad59eb
--- /dev/null
+++ b/src/utils/macro-run-button.cpp
@@ -0,0 +1,82 @@
+#include "macro-run-button.hpp"
+#include "macro-tree.hpp"
+#include "macro.hpp"
+#include "obs-module-helper.hpp"
+#include "utility.hpp"
+
+#include <QKeyEvent>
+
+namespace advss {
+
+MacroRunButton::MacroRunButton(QWidget *parent) : QPushButton(parent)
+{
+	if (window()) {
+		window()->installEventFilter(this);
+	}
+	QWidget::connect(this, SIGNAL(pressed()), this, SLOT(Pressed()));
+}
+
+void MacroRunButton::SetMacroTree(MacroTree *macros)
+{
+	_macros = macros;
+	QWidget::connect(macros, SIGNAL(MacroSelectionChanged()), this,
+			 SLOT(MacroSelectionChanged()));
+	QWidget::connect(&_timer, &QTimer::timeout, this,
+			 [this]() { MacroSelectionChanged(); });
+	_timer.start(1000);
+}
+
+void MacroRunButton::MacroSelectionChanged()
+{
+	auto macro = _macros->GetCurrentMacro();
+	if (!macro) {
+		_macroHasElseActions = false;
+		return;
+	}
+	_macroHasElseActions = macro->ElseActions().size() > 0;
+}
+
+bool MacroRunButton::eventFilter(QObject *obj, QEvent *event)
+{
+	if (!_macroHasElseActions) {
+		setText(obs_module_text("AdvSceneSwitcher.macroTab.run"));
+		_runElseActionsKeyHeld = false;
+		return QPushButton::eventFilter(obj, event);
+	}
+
+	if (event->type() == QEvent::KeyPress) {
+		QKeyEvent *keyEvent = static_cast<QKeyEvent *>(event);
+		if (keyEvent->key() == Qt::Key_Control) {
+			setText(obs_module_text(
+				"AdvSceneSwitcher.macroTab.runElse"));
+			_runElseActionsKeyHeld = true;
+		}
+	} else if (event->type() == QEvent::KeyRelease) {
+		QKeyEvent *keyEvent = static_cast<QKeyEvent *>(event);
+		if (keyEvent->key() == Qt::Key_Control) {
+			setText(obs_module_text(
+				"AdvSceneSwitcher.macroTab.run"));
+			_runElseActionsKeyHeld = false;
+		}
+	}
+	return QPushButton::eventFilter(obj, event);
+}
+
+void MacroRunButton::Pressed()
+{
+	auto macro = _macros->GetCurrentMacro();
+	if (!macro) {
+		return;
+	}
+
+	bool ret = _runElseActionsKeyHeld
+			   ? macro->PerformActions(false, true, true)
+			   : macro->PerformActions(true, true, true);
+	if (!ret) {
+		QString err =
+			obs_module_text("AdvSceneSwitcher.macroTab.runFail");
+		DisplayMessage(err.arg(QString::fromStdString(macro->Name())));
+	}
+}
+
+} // namespace advss
diff --git a/src/utils/macro-run-button.hpp b/src/utils/macro-run-button.hpp
new file mode 100644
index 00000000..c68bd2bc
--- /dev/null
+++ b/src/utils/macro-run-button.hpp
@@ -0,0 +1,29 @@
+#pragma once
+#include <QPushButton>
+#include <QTimer>
+
+namespace advss {
+
+class MacroTree;
+
+class MacroRunButton : public QPushButton {
+	Q_OBJECT
+public:
+	MacroRunButton(QWidget *parent = nullptr);
+	void SetMacroTree(MacroTree *);
+
+protected:
+	bool eventFilter(QObject *obj, QEvent *event) override;
+
+private slots:
+	void MacroSelectionChanged();
+	void Pressed();
+
+private:
+	MacroTree *_macros = nullptr;
+	bool _macroHasElseActions = false;
+	bool _runElseActionsKeyHeld = false;
+	QTimer _timer;
+};
+
+} // namespace advss