This volume provides the most comprehensive overview of archaeological research into the late Pleistocene and early Holocene occupation of the North American Far West in over a decade. It focuses on the relationship between stemmed and fluted point technologies in the region, which has recently risen to the forefront of debate about the initial settlement of the Americas. Established and early career researchers apply a wide range of analytical approaches to explore chronological, geographical, and technological aspects of these tools and what they reveal about the people who made them. While such interrelationships have intrigued archaeologists for nearly a century, until now they have not been systematically examined together in a single curated volume. Contributions are organized into three main sections: stemmed point technologies, fluted point technologies, and broader interactions. Topics range from regional overviews of chronologies and technologies to site-level findings containing extensive new data. The culmination of many years of work by dozens of researchers, this volume lays new groundwork for understanding technological innovation, diversity, and exchange among early Indigenous peoples in North America.