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The most massive stars (M> 60 Solar Mass) play crucial roles in altering the chemical and thermodynamic properties of their host galaxies. Stellar mass is the fundamental stellar parameter that determines their ancillary properties and which ultimately determines the fate of these stars and their influence on their galactic environs. Unfortunately, stellar mass becomes observationally and theoretically less well constrained as it increases. Theory becomes uncertain mostly because very massive stars are prone to strong, variable mass loss which is difficult to model. Observational constraints are uncertain too. Massive stars are rare, and massive binary stars (needed for dynamical determination of mass) are rarer still: and of these systems only a fraction have suitably high orbital inclinations for direct photometric and spectroscopic radial-velocity analysis. Even in the small number of cases in which a high-inclination binary near the upper mass limit can be identified, rotational broadening and contamination of spectral line features from thick circumstellar material (either natal clouds or produced by strong stellar wind driven mass loss from one or both of he stellar components) biases the analysis. In the wilds of the upper HR diagram, we're often left with indirect and circumstantial means of determining mass, a rather unsatisfactory state of affairs.