I ran into weird results the first few times I strayed into that range of OG.
What I didn't realize, which in retrospect seems obvious, is that if you apply the same process to really high OG beers that you would use for low/moderate OG beers, then your efficiency plummets.
As an example, let's say you're mashing 20lbs of grain in an attempt to make a 5gal batch of 10ish% ABV beer. If you use your normal process of only collecting enough runnings to do your usual 1 hour boil so that you end up with 5gal into the fermentor, then you're probably going to find that you're missing your target OG by a country mile (on the low side).
To get all that sugar into your kettle to hit your desired OG, you pretty much have to treat it like you're collecting enough runnings for a 10gal batch of mid-OG beer, then do a much longer boil to get it down to target volume of 5gal.
Or, you need to compensate for the poor efficiency with a LOT more grain, but that's probably not an option because your MT would need to be enormous.