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1 year oldThe singer-songwriter, whose hits include 1987's Fairytale of New York and A Pair of Brown Eyes, had been unwell for some time.
MacGowan also had well-documented problems with drugs and alcohol.
His wife Victoria Mary Clarke said on Instagram that MacGowan "meant the world to me".
She wrote: "I don't know how to say this so I am just going to say it. Shane... has gone to be with Jesus and Mary and his beautiful mother Therese."
She said MacGowan "will always be the light that I hold before me and the measure of my dreams and the love of my life and the most beautiful soul and beautiful angel and the sun and the moon and the start and end of everything that I hold dear".
A statement from MacGowan's spokesperson confirmed he "died peacefully at 3.30am this morning (30 November) with his wife and sister by his side".
"Prayers and the last rites were read during his passing," he added.
On 22 November, Clarke said he had left hospital, and just a few days later she said they celebrated their wedding anniversary, and were grateful they were "still alive".
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