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On our 48' Boat the master state room was in the bow where the mattress was Pie/wedge shape. You can also take a King mattress and keep it king at the head (6') and narrow to queen (5') or less at the foot, something we are considering now. That gives you the shoulder space at the head where it is needed with still plenty of foot space. However that does require custom sheets (we found a work at home seamstress to make our sheets for under $100...
As mentioned above rounding the corners at the foot really helps also
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