Scaling a decoupled realtime server alongside a standard webserver
Changed the answer because a reply indicated that the "main" and "realtime" servers are alraady load-balanced clusters and not individual hosts.
The central scalability question seems to be:

My general workflow is when something occurs on the main server that triggers the need for a realtime message, the main server sends that message to the realtime server (via a message queue) and the realtime server distributes it to any related connection.

Emphasis on the word "related". Assume you have 10 "main" servers and 50 "realtime" servers, and an event occurs on main server #5: which of the websockets would be considered related to this event?
Worst case is that any event on any "main" server would need to propagate to all websockets. That's a O(N^2) complexity, which counts as a severe scalability impairment.
This O(N^2) complexity can only be prevented if you can group the related connections in groups that don't grow with the cluster size or total nr. of connections. Grouping requires state memory to store to which group(s) does a connection belong.
Remember that there's 3 ways to store state:

global memory (memcached / redis / DB, ...)
sticky routing (load balancer configuration)
client memory (cookies, browser local storage, link/redirect URLs)

Where option 3 counts as the most scalable one because it omits a central state storage.
For passing the messages from "main" to the "realtime" servers, that traffic should by definition be much smaller than the traffic towards the clients. There's also efficient frameworks to push pub/sub traffic.
Say I have a typical web server that serves standard HTML pages to clients, and a websocket server running alongside it used for realtime updates (chat, notifications, etc.).
My general workflow is when something occurs on the main server that triggers the need for a realtime message, the main server sends that message to the realtime server (via a message queue) and the realtime server distributes it to any related connection.
My concern is, if I want to scale things up a bit, and add another realtime server, it seems my only options are:

Have the main server keep track of which realtime server the client
is connected to. When that client receives a notification/chat
message, the main server forwards that message along to only the
realtime server the client is connected to. The downside here is
code complexity, as the main server has to do some extra book
keeping. 
Or instead have the main server simply pass that message
along to every realtime server; only the server the client is
connected to would actually do anything with it. This would result
in a number of wasted messages being passed around.

Am I missing another option here? I'm just trying to make sure I don't go too far down one of these paths and realize I'm doing things totally wrong.