The man burst into the building armed with an assault rifle just before 2.00am local time in the early hours of this morning.
The attack happened in a small village near to the town of Zrenjanin, 30 miles northwest of the capital, Belgrade.
Police say the suspect was arrested at the scene and he remains in custody.
Officers are identifying the man as Z.S. and claim he started his rampage by killing his wife and another woman.
It is not known if the other woman was known to him.
He then began firing indiscriminately at other patrons of the "Makijato" cafe.
Witnesses told how the attacker came to the cafe and saw his wife with a group of friends.
He went home before returning with a gun.
Svetozar Manojlovic: "He just pulled out a gun and started shooting, first into the air - it sounded like firecrackers at first.
His killing spree was brought to an end when people in the cafe managed to overpower the him and take the gun off him.
The wounded were taken to hospitals in nearby Zrenjanin and Novi Sad.
So far seven people have undergone surgery and are in a serious condition, according to doctors.
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