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In 1555, Metr. Makary established the [[Diocese of Kazan]].
The painting of the [[St. Basil's Cathedral (Moscow)|Saint Basil's Cathedral]] and Kremlin's Golden Chamber was carried out with his assistance. He also took part in compiling the ''Chronicle of the Beginning of Tsardom of Tsar and Grand Prince Ivan Vasiliyevich'', i.e., an official chronicle of Ivan the Terrible's reign, and the ''Regal Book'', an illuminated manuscript about Ivan's reign and policies.
In his declining years, Metr. Macarius moved away from the affairs of the state. He supervised the creation of the Stepennaya kniga (or the Book of Generations), supported [[Ivan Fyodorov]]'s book-printing, and renovated [[icon]]s. Metr. Macarius died on [[January 12]], 1563 in Moscow. He was buried in [[Dormition Cathedral (Moscow Kremlin)|Cathedral of the Dormition]] of the Moscow Kremlin. After his death, his life and ''A Tale of the Last Days of Metropolitan Macarius'' were written. Metr. Macarius was glorified by the [[Russian Orthodox Church]] in 1988, although his name is found in lists of saints dating back to the 1700s.<ref>Makarii, ''Zhizn' i Trudy Makariia''.</ref> His icon hangs in a niche over the archway of the entrance to the Russian State Archive of Ancient Documents in Moscow.