We show that black holes accreting at or above the Eddington rate probably produce winds which are optically thick in the continuum, whether in quasars or X-ray binaries. The photospheric radius and outflow speed are proportional to mo^2 and mo^-1 respectively, where mo is the mass outflow rate. The outflow momentum rate is always of order L_Edd/c. Blackbody emission from these winds may provide the big blue bump in some quasars and AGN, as well as ultrasoft X-ray components in ULXs.