In the presently European reigning families only *Royal Highness*, *Highness*, and *Serene Highness* are in use unless a spouse from a formerly reigning family has a higher style recognized.
And the Grand Master of the Sovereign Military Order of Malta has the style in English "Most Eminent Highness". In Italian "Altezza Eminentissima". In French "Altesse Eminentissime". In Spanish "Alteza Eminentísima". In German "Hoheit und Eminenz".
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