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It adds new areas, new equipment, new monsters and new bosses. It does not change the gameplay loop, but rather expands it.
This is a very common question by the way. I've seen it asked about 10 times since DLC3 came out. A quick forum search would have easily answered this question.
The newly available builds are not obligatory stronger then what you can do with the game, but they do add substantial amount of new options.