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We present the first systematic follow-up of Planck Sunyaev-Zeldovich effect (SZE) selected candidates down to signal-to-noise (S/N) of 3 over the 5000 deg$^2$ covered by the Dark Energy Survey. Using the MCMF cluster confirmation algorithm, we identify optical counterparts, determine photometric redshifts and richnesses and assign a parameter, $f_{\rm cont}$, that reflects the probability that each SZE-optical pairing represents a random superposition of physically unassociated systems rather than a real cluster. The new PSZ-MCMF cluster catalogue consists of 853 MCMF confirmed clusters and has a purity of 90%. We present the properties of subsamples of the PSZ-MCMF catalogue that have purities ranging from 90% to 97.5%, depending on the adopted $f_{\rm cont}$ threshold. Halo mass estimates $M_{500}$, redshifts, richnesses, and optical centers are presented for all PSZ-MCMF clusters. The PSZ-MCMF catalogue adds 589 previously unknown Planck identified clusters over the DES footprint and provides redshifts for an additional 50 previously published Planck selected clusters with S/N>4.5. Using the subsample with spectroscopic redshifts, we demonstrate excellent cluster photo-$z$ performance with an RMS scatter in $\Delta z/(1+z)$ of 0.47%. Our MCMF based analysis allows us to infer the contamination fraction of the initial S/N>3 Planck selected candidate list, which is ~50%. We present a method of estimating the completeness of the PSZ-MCMF cluster sample. In comparison to the previously published Planck cluster catalogues. this new S/N>3 MCMF confirmed cluster catalogue populates the lower mass regime at all redshifts and includes clusters up to z$\sim$1.3.