already_AddRefed in association with nsCOMPtr allows you to assign in a pointer without AddRefing it.
You may want to use this as a return type from a function that has already produced an  AddRefed pointer as a result. In fact, it is preferred to use already_AddRefed in this case over returning a raw pointer or nsCOMPtr (see the nsCOMPtr user manual).
Defined in: mfbt/AlreadyAddRefed.h.
Example
...
already_AddRefed<nsIFoo> GetFoo() {
  nsIFoo* foo = mFoo;
  NS_IF_ADDREF(foo);
  return foo;
}
// or
already_AddRefed<nsIFoo> GetFoo() {
  nsCOMPtr<nsIFoo> foo = mFoo; 
  // ...
  return foo.forget();
}
...
// The following assignment doesn't perform an additional AddRef,
// as it would do if GetFoo() returned a raw pointer.
nsCOMPtr<nsIFoo> foo = GetFoo();
See also
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