Update thanks to thethatfox:
Physical game cards may also not actually contain the game:
Nintendo Switch 2 Game-Key Card Overview
Game-key cards are different from regular game cards, because they don’t contain the full game data. Instead, the game-key card is your “key” to downloading the full game to your system via the internet.
Update 2: There is probably a difference in Game-key cards and card that contain real game data. So we don’t know right now how often these game-key cards are used or if nintendo is using them.
I think game key cards are for games that don’t fit on a regular game card. So like what happened before with some Switch games, but more transparent about which ones don’t have the full game on them.