We prove that if an orientable 3-manifold admits a complete Riemannian metric whose scalar curvature is positive and has at most -quadratic decay at infinity for some , then it decomposes as a (possibly infinite) connected sum of spherical manifolds and summands. Consequently, carries a complete Riemannian metric of uniformly positive scalar curvature. The decay constant is sharp, as demonstrated by metrics on . This improves a result of Balacheff, Gil Moreno de Mora Sardà, and Sabourau, and partially answers a conjecture of Gromov. The main tool is a new exhaustion result using -bubbles. In dimensions , we further extend results of Chodosh–Maximo–Mukherjee and Sweeney, and obtain topological obstructions to the existence of a complete Riemannian metric whose scalar curvature is positive and has at most -quadratic decay at infinity for some on certain noncompact contractible -manifolds.

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