JD wrote:

Any of you guys have this problem? I'm 6'0", 290# with a 21" neck.

To a lesser extent. 5'6" 200# with a 17.5" neck. My torso is
somewhat out of proportion to my body so I don't look short
while I'm sitting. The low center of gravity was an advantage
playing soccer in high school at least: bigger kids bounced
off me in surprise. My arms are matched to my legs so all
shirts that fit my torso are long on my arms and all shirts
that fit my neck and far too big on me.

My father had it worse. As a possible role model for Mr
Goodwrench I don't remember him even having a neck until a
few years after he retired and those big neck muscles shrank
to mortal size.

The shirts in the big and tall men's stores with an
appropriate neck reach past my knees and have enough girth
to fit an extra person of my size in. Tailored shirts at
$100 a pop make the Scot in me cringe. Any help?

The simplist ones: I get short sleeved shirts and I don't
often button the top button. Even when I put on a tie and
draw it crispy the shirt under it is invisibily unbuttoned.
I also try to roll my cuffs at the office and that works at
most business casual places.

There is also a step between strictly rack shirts that never
fit well (you have it worse than I do) and full custom.
Some places do "semicustom" (not sure what it means but they
cost in between rack and full custom) and some places do
alterations.