I often call back sleepers the easiest to please when it comes to mattresses, because most are comfortable on a medium to medium-firm mattress, which tends to dominate the mattress market. However, finding the perfect pillow for back sleepers can be more challenging. You’ll want one that has the right loft to support your neck, but also one that’s soft enough to allow your head to comfortably sink into the surface.
If you’re struggling to find the right pillow for your needs, let us do the heavy lifting for you. The Mattress Clarity team has reviewed more than 700 sleep products over the years we’ve been in operation, including over 500 mattresses and 200 sleep accessories. We’ve helped more than 35,000 folks find their new mattress match, including 5,919 people in 2024 alone.
This list of the best pillows for back sleepers was crafted with this same attention to detail, alongside input from our chief medical advisor, Dr. Raj Dasgupta, MD, FACP, FCCP, FAASM. We offer a wide range of products, from traditional memory foam pillows to adjustable body pillows, so that back sleepers can find the pillow that is just right for them.
Our Verdict: What’s the Best Pillow for Back Sleepers?
We chose the Cozy Earth Silk Pillow as our top pick for back sleepers. This soft yet durable pillow cannot only work for these sleepers, but anyone seeking compressible comfort that still provides subtle lift to keep the neck and spine aligned.
The Best Pillows for Back Sleepers
- Cozy Earth Silk Pillow – Best Pillow for Back Sleepers Overall
- Saatva Latex Pillow – Pillow for Back Sleepers with Neck Pain
- Nectar Tri-Comfort Cooling Pillow – Best Pillow for Side and Back Sleepers
- Brooklyn Bedding Latex Pillow – Best Firm Pillow for Back Sleepers
- Luxome LAYR Pillow – Best Pillow for Stomach and Back Sleepers
- Helix Wedge Pillow – Best Wedge Pillow for Back Sleepers
- Cariloha Gel Pillow – Best Cooling Pillow for Back Sleepers
What Matters Most in a Pillow for Back Sleepers
Our testers took these pillows home for a few weeks to get a feel for how they worked. After reviewing their notes, here’s what I prioritized when choosing the best options for back sleepers.
- Comfortable loft – It’s important that your pillow has the correct loft, which is another word for thickness or height. The right loft will conform to your cervical spine, helping to promote proper alignment throughout the rest of your body.
- Support – Hand-in-hand with loft is support, and this is where materials come into play. Just because a pillow is super-thick, it doesn’t necessarily mean that it will support you. If your pillow is made of super soft goose down, there’s a chance it’ll flatten out as soon as you flop down onto it. Back sleepers require a pillow that will keep their spine in proper alignment, helping to alleviate discomfort and pain.
- Feel – The final category is the most subjective and can vary from sleeper to sleeper. I prefer a particularly firm, springy pillow, so I tend to opt for latex. Other people might prefer the slower sink of memory foam, while others may want the pillowy, downy feel. I gathered a mix of different feeling pillows to hopefully find something for just about every back sleeper.
Our Testing Experience
Cozy Earth Silk Pillow – Best Pillow for Back Sleepers Overall
Cozy Earth Silk Pillow
Filled with long-strand mulberry silk and encased in bamboo viscose, this pillow offers a soft, low-loft option for stomach and back sleepers.
Mattress Clarity Score
4 / 5
Saatva Latex Pillow – Best Pillow for Back Sleepers with Neck Pain
Saatva Latex Pillow
Combining plush comfort with responsive support, the Saatva Latex Pillow features a shredded latex core and an organic cotton cover.
Mattress Clarity Score
4.4 / 5
Nectar Tri-Comfort Cooling Pillow – Best Pillow for Side and Back Sleepers
Nectar Tri-Comfort Cooling Pillow
Nectar’s Tri-Comfort Cooling Pillow lives up to its name with its cool-to-the-touch cover, but it also features adjustable firmness thanks to its side zippers.
Mattress Clarity Score
4.40 / 5
If you switch between sleeping on your back and side, you’ll need a pillow that suits both of these positions. While side sleepers typically require a high loft pillow to conform to their neck and shoulders, this can get uncomfortable for back sleepers. For a pillow that’s compatible with every sleeping position, I recommend the Nectar Tri-Comfort Cooling pillow.
As you toss and turn at night, you’ll be able to quickly change the feel of the Nectar pillow. While some adjustable pillows require manual removal of filling, this pillow’s firmness can be reconfigured by simply pulling a zipper. Fully unzipping the Tri-Comfort results in the softest feeling, and the pillow gets firmer the more you zip it up.
When our expert tester, Sosha Lewis, tried this pillow at home, she found it compatible with both her and her husband’s sleep needs. In the side-sleeping position, she said, “I sank in just the right amount to keep my spine aligned and neck and traps comfortable.”
Sosha’s back-sleeping husband was also a big fan of the Nectar pillow, which, when halfway zipped, provides a medium feel. In fact, her husband liked it so much that she thought they might have to arm wrestle for the rights to it, so she rated their overall experience 5/5 stars.
Part of what makes this pillow so good for multiple sleeping positions is its materials, which Sosha rated 4.5/5 stars. She said, “I’m not usually a fan of memory foam pillows, but this one uses memory foam clusters and microfiber down alternative, which is much more appealing to me.” While there’s enough soft sinkage to provide comfort, the materials are strong enough to lift the head and neck into proper alignment with the rest of the spine.
Another plus of this pillow is its cooling technology, which makes it a great pick for sleepers who frequently overheat. The cover is made from a breathable, cool-to-the-touch polyethylene fabric, which Nectar says is designed to wick away heat and moisture. Sosha confirmed that the sleek cover helped regulate her temperature, and her husband, who tends to sleep hot, found even more cooling relief throughout the night.
While the cover provides excellent cooling, keep in mind that it’s not removable or machine washable. If the cover gets stained, it requires spot-clean treatment only. However, Sosha says the smooth, durable material seems easy to clean, and she doesn’t think it would stain easily.
Brooklyn Bedding Latex Pillow – Best Firm Pillow for Back Sleepers
Brooklyn Bedding Talalay Latex Pillow
Crafted from natural Talalay latex, Brooklyn Bedding’s Latex Pillow offers responsive support and breathability to satisfy combination sleepers and those looking to sleep cool.
Mattress Clarity Score
4.6 / 5
Luxome LAYR Pillow – Best Pillow for Stomach and Back Sleepers
Luxome LAYR Customizable Pillow
The Luxome LAYR Pillow can be tailored to your specific needs with multiple foam inserts and adjustable fill.
Mattress Clarity Score
4.7 / 5
Helix Wedge Pillow – Best Wedge Pillow for Back Sleepers
Helix Wedge Pillow
Designed to elevate the upper body during back sleeping, this wedge pillow can help alleviate conditions like acid reflux, sleep apnea, and snoring.
Mattress Clarity Score
4.1 / 5
Cariloha Gel Pillow – Best Cooling Pillow for Back Sleepers
Cariloha Gel Pillow
This graphite-infused memory foam pillow provides soothing support and icy-cold cooling thanks to its gel infusion.
Mattress Clarity Score
4 / 5
Other Pillows for Back Sleepers We Considered
If you didn’t find what you were looking for, don’t fret. Here are some other pillows we tested that could work for back sleepers:
- Brooklinen Down Pillow – Looking for the best down pillow for back sleepers? You might like Brooklinen’s Down Pillow. This pillow is available in multiple firmness options, so you can pick your preferred feel. It’s great if you’re looking for a hotel pillow that you can sink into. Please note that down pillows require regular fluffing, which our tester found to be the case with this pillow.
- Coop Sleep Goods Adjustable Pillow – Adjustable pillows like Coop’s are great picks for sleepers of all types, as they can be molded to fit your needs. This pillow is filled with a malleable blend of foam and microfibers, providing a perfect medium-firm feel. Back sleepers who love memory foam will most likely enjoy this pillow because it’ll conform to the head and neck, promoting a comfortable, neutral alignment.
- Peacock Alley Down Alternative Pillow – My fellow tester Sosha Lewis dubbed this pillow her new favorite after taking it for a spin. If you like the pillowy-soft feel of down but are looking for a hypoallergenic option, Peacock Alley’s Down Alternative Pillow will fit the bill. It’s super thick and fluffy, so it won’t collapse when you lay down on it. Sosha preferred this most on her side, but it should still work great for back sleepers who like a higher loft.
How We Tested These Pillows for Back Sleepers
When we test pillows, we examine both the product’s construction and its performance during our experience with the pillows. We honed in on three key areas: loft, support, and feel.
Loft
Loft refers to the height or thickness of a pillow, and the best loft for a back sleeper will depend on personal comfort. Your neck has a normal curvature that the pillow should support. If there’s too much loft, the neck will straighten out. If the pillow is too low, the curve is intensified. Either of these positions will leave a person with soreness and stiffness.
If you’re worried about finding a pillow with the right loft, you might consider one with adjustability. This means you can add or remove fill or inserts to your liking, allowing for better customization not just in terms of height, but also in overall shape.

Support
“A supportive pillow is important for maintaining proper spinal alignment and neck posture throughout the night,” says Dr. Raj Dasgupta. You might think that by choosing the right loft, the pillow should automatically work for you, but this isn’t the case. For example, a thick enough pillow with a softer, less dense fill will tend to flatten out when you lie down on it, resulting in a decidedly unsupportive pillow.
Look for pillows that combine features geared toward support. Shredded memory foam is often more supportive than down, but it may provide the same level of softness. In the same vein, a pillow that’s made of a slab of latex may not be supportive if it has too low a loft. Consider your preferences and needs to find a pillow that strikes the right balance of support and comfort.
Feel
There’s no one-size-fits-all feel for a pillow, even when it comes to back sleepers. Soft, firm, and medium-feel pillows can all work for back sleepers, so long as they provide the necessary support and loft, as mentioned above.

The feel of your pillow is largely determined by the construction, including the materials and fill inside the pillow itself. Latex and memory foam provide a firmer feel than down or fiber fills. Some pillows are made of clumps of fill, offering a more malleable feel, while others are solid, doughy blocks.
If you’re concerned about whether a pillow’s feel is right for you, consider choosing a brand with a long sleep trial. This way, if you decide it’s not a match, you can send it back for a refund or exchange.
What Else Is Important When Buying Pillows for Back Sleepers?
Aside from the areas outlined above, there might be some other elements that factor into your final decision. Here are some additional considerations to consider before purchasing a new pillow.
Type of Pillow
Pillows can be filled with just about anything, but some materials are more conducive to certain sleeping styles. Let’s go over the most common pillow types, their feels, and who will enjoy them the most.



Foam
Foam pillows are among the most popular types available. Whether made from memory foam or other synthetic foams, these pillows are renowned for their contouring and pressure-relieving properties. “They also excel in isolating motion, ensuring uninterrupted sleep,” says Dr. Raj Dasgupta. Their dense construction also provides them with lasting durability compared to other pillow types.
Foam is notorious for trapping heat, though. Dr. Raj Dasgupta recommends shredded memory foam if you’re looking for that feel without the neck sweat. “Shredded pillows can be customized for loft and shape, offer better breathability, and have a more plush feel compared to solid pillows,” he said.
Latex
Latex is another popular pillow choice, naturally derived from rubber trees and providing a buoyant, dense feel. When it comes to who might like a latex pillow, Dr. Raj Dasgupta says, “They are a good choice for people who are looking for support to keep their spine aligned while sleeping.”
Latex is naturally breathable, hypoallergenic, and a great pick for the eco-conscious. It also has great bounce if you switch between positions at night. However, most latex, especially those naturally and organically manufactured, drives up the cost of a product.
Down
Down pillows are made from the soft underlayer of feathers from birds like geese or ducks. Down tends to make for very soft pillows. “Back sleepers might enjoy down pillows, so long as they aren’t too flat,” says Dr. Raj Dasgupta. These pillows may not hold their shape as well as memory foam or latex, requiring regular fluffing.
Because they come from animals, they may not be the best choice for individuals with allergies. I’ve found that even the most well-constructed feather pillows can start shedding after repeated use. The meticulous care it takes to ethically harvest down also drives up the price, so down pillows aren’t great budget options, either.
Down Alternative
If you’re sensitive to animal products but love the feel of down, consider opting for a down alternative pillow. These pillows mimic the feel of down using synthetic fibers like cotton, rayon, or polyester. You can enjoy the same plush feel without the sniffles, and at a fraction of the price.
Care
If you’re expecting your pillow to go through the wringer, you might be interested in how it’s washed. Most pillows, unfortunately, are spot-clean only, so you’ll have to rely on a pillowcase or take it to a professional cleaner. However, some offer a removable washable cover, and even fewer are entirely machine-washable. Be sure to check the manufacturer’s description if you’re worried about keeping your sleep space fresh.

Cooling Capability
For some folks, overheating at night is a big problem, and the last thing they need is a pillow that traps heat. Prioritize materials like latex or cooling gel-infused foam, which are less known for trapping heat. Look for shredded fills rather than solid block pillows, as the space between each cluster allows for better airflow.
If there isn’t any cooling material in the fill itself, you can also take a look at the materials in the cover of the pillow. Cotton offers crisp breathability, while bamboo is renowned for its natural moisture-wicking properties and a cool-to-the-touch feel. If all else fails for hot sleepers, consider investing in a nice cooling pillowcase.
Price
For some, the right pillow might come down to the price tag. Luxury pillows can sometimes break the $100 mark, which isn’t always the most approachable price. However, when scouring the cheap options, you want to be sure you’re still getting a quality product. Take a look at the pillow’s certifications, reviews, and any company policies offered. If there’s a lengthy sleep trial or warranty, it’s a sign that the manufacturer believes in the quality and longevity of its product.
We rated each of the pillows on our list on their total value, meaning whether or not we’d pay the price for what we received. If you’re looking for a good deal or a lasting investment, pay attention to how the pillow scored in that category.
FAQs
Are contour pillows good for back sleepers?
Contour pillows (also known as orthopedic pillows) can work for some back sleepers, especially if they are looking for extra neck support. There are some possible caveats. For one, it may take an adjustment period to get used to their unique shape. If the pillow also doesn’t come in different sizes, you might end up with one that’s too thick or thin for your anatomy. If you also switch between positions, the oblong shape might not work when you lie on your side or stomach.
Are firm pillows good for back sleepers?
Firm pillows can be a great option for back sleepers who want a lifted, supportive feel. Look for pillows with a dense memory foam or latex fill, as these tend to be firmer. Just make sure the loft isn’t too high for your neck, as it can be harder to sink into a firmer pillow.
How high should a pillow be for back sleepers?
A pillow for back sleepers should be just high enough to fill in that gap beneath the back of your neck and the base of your skull. This might vary depending on your unique anatomy. Some pillows offer measurement guides as to which loft will be best suited to your needs. Generally, I’d recommend a mid-range to high loft pillow for back sleepers.
References
- Warland, J. (2017). Back to basics: avoiding the supine position in pregnancy. The Journal of Physiology, 595(4), 1017–1018. https://doi.org/10.1113/jp273705
- Lei, J.-X., Yang, P.-F., Yang, A.-L., Gong, Y.-F., Shang, P., & Yuan, X.-C. (2021). Ergonomic Consideration in Pillow Height Determinants and Evaluation. Healthcare, 9(10), 1333. https://doi.org/10.3390/healthcare9101333
- Waite, M. (2010). Sustainable Textiles: the Role of Bamboo and a Comparison of Bamboo Textile properties (Part II). Journal of Textile and Apparel, Technology and Management, 6(3). ResearchGate. https://www.researchgate.net/publication/231608434_Sustainable_Textiles_the_Role_of_Bamboo_and_a_Comparison_of_Bamboo_Textile_properties_Part_II















