use strict;
my $str = '<a href="https://mega.co.nz/#![RandomThings1]" target="_blank">[RandomThings2] [<span style="color:#008000;">[RandomThings3]</span>]</a>
needed:
<a href="https://mega.co.nz/#![RandomThings1]" target="_blank">[RandomThings2] [<span style="color:#008000;">[RandomThings3]</span>]</a> <a href="http://no.refer.co/?link=https://mega.co.nz/%23![RandomThings1]" target="_blank">NoRefer</a>';
my $regex = qr/(<a\s+[^>]*?href="[^"]*#!(\[.*?\])"[^>]*?>[^<>]*?<span[^>]*?>[^<>]*?<\/span>[^<>]*?<\/a>)/p;
my $subst = '$1 <a href="http://no.refer.co/?link=https://mega.co.nz/%23!$2" target="_blank">NoRefer</a>';
my $result = $str =~ s/$regex/$subst/rg;
print "The result of the substitution is' $result\n";
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Perl, please visit: http://perldoc.perl.org/perlre.html