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Published online by Cambridge University Press: 01 August 2006
I review the status of massive star formation theories: accretion from collapsing, massive, turbulent cores; competitive accretion; and stellar collisions. I conclude the observational and theoretical evidence favors the first of these models. I then discuss: the initial conditions of star cluster formation as traced by infrared dark clouds; the cluster formation timescale; and comparison of the initial cluster mass function in different galactic environments.