No, I mean that, if the IOMMU is off or if it allows access to an address, then MKTME will treat that access exactly as though it was a normal access from the CPU. So, if the device selects the right key (the key uses some otherwise unused physical address bits), then the device will access the decrypted data.
Could you please translate this into non-expert language? Does it mean DMA granted devices can break IOMMU separation?