  The observational consequences of the merger scenario for massive star
formation are explored and contrasted with the gradual accumulation of mass by
accretion. Protostellar mergers may produce high luminosity infrared flares
lasting years to centuries followed by a luminosity decline on the
Kelvin-Helmholtz time-scale of the merger product. Mergers may be surrounded by
thick tori of expanding debris, impulsive wide-angle outflows, and shock
induced maser and radio continuum emission. Collision products are expected to
have fast stellar rotation and a large multiplicity fraction. Close encounters
or mergers will produce circumstellar debris disks with an orientation that
differs form that of a pre-existing disk. The extremely rare merger of two
stars close to the upper-mass end of the IMF may be a possible pathway to
hypernova generated gamma-ray bursters. While accretional growth can lead to
the formation of massive stars in isolation or in loose clusters, mergers can
only occur in high-density cluster environments. It is proposed that the
outflow emerging from the OMC1 core in the Orion molecular cloud was produced
by a protostellar merger that released between $10^{48}$ to $10^{49}$ ergs less
than a thousand years ago.
