According to Scott Manley, metallic hydrogen has a specific impulse of 1700 seconds. That is rocket scientist way of saying that such a rocket would go farther per pound of fuel used than our relatively quick exhausted chemical and solid booster rockets.
Nonetheless, the tyranny of the to rocket equation will stiill effect any rocket no matter how powerful so long it cannot create it's own fuel.
Say you want to launch a constitution class star trek starship onto orbit and it weighs 190,000 tons. Theoretically perhaps solid hydrogen staged booster rockets could do it, given how much thrust they give, but maybe even that is too much.
What I want to know is, what is the upper mass ton limit that you can lift to orbit with pure metallic hydrogen, assuming you had engines that would'nt melt?
Also what is the upper ton limit on what you can launch to orbit using pure fusion without a fission reaction, fission whether through nuclear pulse propulsion or nuclear saltwater rockets, or antimatter propulsion staging rockets?
I believe antimatter will require the least staging for launching the enterprise to orbit, but the exhaust would be gamma ray and other radiation, and I am not sure how safe that would be for the planet. Pure metallic hydroge, being an uber chemical reaction, I do not think leaves radiation hazards in it's wake, just a really hot plume.
Launch and starship service life: Although rocket staging is not often seen in visual scifi, it really is the most efficient way to lift heavy loads to orbit. You can lift more through staging than you can without it, no matter if you're using antimatter or not. So if your goal is to lift massive ground built starships into orbit, staging is the way to go. Landing is not ever going to happen unless the ship is light enough and has the fuel reserves to do so. In that sense, any thing you launch into space that massive is a resource you will not get back. Overtime I think the ship's radioactive protection would probably be defeated by cosmic rays, (unless you have 6 foot thick walls on your ship) meaning you would either have to retrofit it in orbit or retire it. Retiring it would be a massive waste of resources, unless you dissassembled it and shuttled it piece by piece back to the surface of a planet.