We really enjoyed our trip to 5th avenue in Playa Del Carmen. We can only review it for what we experienced, which was about 3 hours in the afternoon, and we didn't have time to stop at a restaurant.
It's certainly an area looking to grab tourist dollars, but Mexico-touristy is a lot different than Canada/US-touristy, so we found it interesting. Lots of shop employees outside the shop trying to convince you to come see their various trinkets, which is a style of business a lot of travelers to this area of Mexico should be familiar with (they pressure, barter, try to get your attention, etc.). We had no problem saying no to them, and we weren't harassed in any way when we did.
There was a lot of the sort of kitschy non-unique souvenir stuff, but also some nice stuff and interesting attractions along the way (I'll review them if those individual stores appear on Tripadvisor). We didn't bother with the stores that also appear frequently in Canada/US.
I imagine it would be super busy in the evening, but possibly a lot of fun, too. If you usually stick to resorts, as we had, we highly recommend 5th avenue as a break from the resort with a touch of culture, but by no means off the beaten path.
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