We independently research, test, review, and recommend the best products—learn more about our process. If you buy something through our links, we may earn a commission.
If you shift from sleeping on your side to your stomach and your back throughout the night, you'll want a pillow that supports you in every position.
Over the past four years, we've spent hours researching and testing the best pillows for every type of sleeper, evaluating loft, firmness, versatility, and quality. Our top pick for most combination sleepers, the Snuggle-Pedic Original Memory Foam Pillow, features a breathable, and washable, viscose of bamboo cover and includes additional filling so you can adjust the pillow to the ideal firmness.
"The combination sleeper is the one who may start out sleeping on the back and roll to the side or vice versa," explains Robert Hayden, DC, chiropractor and spokesperson for the American Chiropractic Association. "Pillow needs are very different for those two positions. The best design that I have seen for pillows that meet these needs have a depression in the center with supporting material under the neck for a supine position, and higher and firmer areas on each side of the pillow," he says. This is because when you lay flat on your back, your head is in the center depression with neck supported. When you roll to the side, the head is elevated and supported properly.
With this in mind, here are the best pillows for combination sleepers.
Best Overall: Snuggle-Pedic Adjustable Memory Foam Pillows
Eco-friendly and made in the USA
Certi-PUR US and GreenGuard Gold Certified
Messy to remove shredded fill
Loses loft overtime
Expensive compared to similar options
If you're a combination sleeper looking for a pillow that will keep you slumbering soundly all night long, we recommend our top pick, the Snuggle-Pedic Original Memory Foam Pillow, because of its breathable cover and adjustable interior foam fill. The pillow's perforated cover ensures that you won't wake up to an uncomfortably warm pillow in the middle of the night. Our tester said this pillow maintained its coolness for the entire time she laid on it in The Lab and said she felt significant support in her neck, which is typically a problem area during sleep.
Our tester said this pillow immediately screamed luxury to her after examining it and finding no stray threads, stitching or filling. She loved it's cool-to-the-touch design and how it perfectly filled out the queen pillow case used for testing. Although our tester said she felt this pillow was slightly on the expensive end of a price spectrum, she said its cooling factor and high-quality design certainly made it worth spending more.
We also sent this pillow home with a volunteer tester, who slept on it for one month and evaluated its long-term durability. She said she felt support from this pillow no matter her position—on her side or stomach—and the foam core allowed for comfortable airflow throughout the night. She did notice that this pillow loses loft over time, so she recommends fluffing it after each use. She added the additional fill after several weeks to maintain her desired loft.
Best Cooling: Coop Home Goods Eden Adjustable Pillow
Who else recommends it? Reviewed and Bob Vila all picked the Coop Home Goods Eden Adjustable Pillow.
What do buyers say? 87% of 14,300 Amazon reviewers rated this product 4 stars or above.
Easy to add or remove filling
Gel-infused shredded memory foam fill
Breathable and machine-washable cover
May not be best for stomach sleepers
For combination sleepers battling warm temperatures, night sweats, or hot flashes, Coop Home Goods' Eden Pillow covers it all. This pillow is filled with shredded gel memory foam and microfiber, allowing better dispersement of heat as you sleep. If you're a pillow-flipper and restless sleeper, you'll be happy to know our tester didn't flip this pillow during testing and said it stays cool all night long without becoming stuffy and hot. The gusseted sides of this pillow also keep the filling in place and prevent the dreaded "pillow pinch."
Unlike other adjustable pillows, the Coop Eden pillow offers an inner, zipped lining that keeps the stuffing together while you wash the cover. A zipper on the side of the pillow cover also allows you to adjust the fill according to your sleeping needs. Our tester said this pillow fluffed right back to its original size after being washed, which she appreciated as a stomach sleeper, who likes to adjust her pillows to a less firm fill.
You can also request more filling from the company if the pillow is too soft—you may find it only needs a simple adjustment to create the perfect pillow for any sleeping position. Note, it may take a few nights of sleeping on the pillow to find what works best. Overall, our tester said she loves this pillow's customization and fully machine-washable design make it truly stand out against other pillows.
Best Adjustable: Snuggle-Pedic Ultra-Luxury Bamboo Shredded Memory Foam Pillow
Impressive 20-year warranty
120-night sleep trial
Eco-friendly and made in the USA
Messy to remove fill
Initial odor when unpackaged
Pricier compared to similar options
If you're a combination sleeper looking for a pillow that will keep you slumbering soundly all night long, the Snuggle-Pedic Ultra Luxury Pillow is a perfect choice because of the adjustability of the foam. Whether you are a side, stomach, or back sleeper, you can add or reduce the quantity of shredded memory foam to meet your support needs. Unlike some other "adjustable" pillows, Snuggle-Pedic includes a convenient zipper on the edge to make adding or subtracting foam a breeze. The memory foam is also hypoallergenic and dust mite resistant—a major plus for anyone with allergies.
Another plus? If you're not happy with the support, you can send the pillow back for a free, custom adjustment from Snuggle-Pedic. While this service involves an extra step, it's complimentary. With adjustable support and free customization from the manufacturer, this pillow will accommodate just about any combination sleeper.
Best Organic: Avocado Green Pillow
GOLS certified organic latex and GOTs certified organic kopak
Luxurious feel and design
Fill gets stuck in zipper
Cover shrank after washing
The Avocado Green Pillow is the ideal all around certified organic pillow for anyone looking to prioritize their environmental impact, while still enjoying a luxurious sleep experience every night. Our tester said this pillow had a very soft exterior cover and the filling was incredibly solid. It did not immediately spring back up after pushing it gently with her hand. While testing this pillow in our lab, our tester was shocked that this pillow never changed temperature and felt soft, yet supportive at the same time.
Aside from this pillow's incredibly comfortable feel and design, it has an impressive list of certifications on almost every material used in its design. The interior ribbon filling is made of GOLS-certified organic latex rubber foam, the same latex used in Avocado's mattresses, and GOTS-certified organic kopak tree fiber. This filling is encased in an organic cotton jersey liner and then covered with the GOTS-certified organic cotton quilted cover. Our tester noted that the filling did easily catch in the liner zipper when she tried adding and removing fill. While this is not a major issue, it's still a design issue to keep in mind. The cover had minimal shrinkage after we washed it in the lab and our tester said it was still easy to zip shut, once she had squeezed the liner back into the cover.
We also sent this pillow home with a long-term tester, who used it for one month. She said that this pillow was clearly high-quality and loved its non-toxic materials, but said that it was a bit too firm for her liking, even with the adjustable fill. She also said that she could feel the texture of the filling, even with two layers of lining and cover, plus a pillow case, over it. We recommend looking for a different pick if texture and a lower fill are at the top of your pillow priorities. Overall, both of our testers said they did enjoy using this pillow, and appreciated its eco-conscious design.
Best for Side Sleepers: Purple Harmony Pillow
Choice between three pillow heights
Honeycomb Gelflex layer
Won't fall flat
Inner filling takes a while to dry
Our tester was shocked by the Purple Harmony Pillow's unique honeycomb texture. She also said it was unlike any other pillow she felt before. This pillow's unique texture and appearance comes from the honeycomb Gelflex layer that encompasses the pillow's inner talalay latex core. This design allows for more airflow through the pillow while still offering unique support for any type of sleeper. Purple even offers a guide to which pillow height consumers should purchase based on their sleeping style.
Our tester said she didn't have to adjust her head much after laying on this pillow and that is stayed cool for the majority of the time she used it. This pillow's honeycomb layer and core also ensures that it won't fall flat overtime, which is ideal for side sleepers. This pillow did not shrink after we machine washed it in the lab, but our tester noted it took a while for the inner core to dry. Overall, our tester said this pillow impressed her with its innovative design and unique texture, which offered a cool-to-the-touch finish and comfortable support.
If you're a combination sleeper, the Coop Home Goods Eden Adjustable Pillow is our top choice because it's adjustable and comfortable for all sleeping positions. For a cooling option, we recommend the Coop Home Goods Eden Pillow, which has a cooling gel-infused memory foam and microfiber interior with a dual case system for easy adjustability.
How We Tested the Pillows
To compile this list, we first researched highly rated pillows on the market. Then, we put our top picks to the test at The Lab in Des Moines, Iowa, evaluating each option's quality, construction, and durability. For cooling pillows, we measured the pillow's temperature before and after our testers laid on each for a period of time. Our long-term pillow testers then took each of our picks home to sleep on and test for weeks. They noted if their sleep was enhanced or hurt during this time, earning each pillow high or low marks. With our writer's research and our tester's notes, we published our final results.
What to Look for in Pillows for Combination Sleepers
Loft refers to the pillow's height, and sleep position determines what height you need: Side sleepers are usually comfortable with high loft, stomach sleepers prefer low loft, and back sleepers fall somewhere in the middle. As a combination sleeper, you'll probably want a loftier pillow that can be adjusted and compressed to provide comfort for every sleep position. Our pick for side sleepers, the Purple Harmony Pillow, offers three different heights—low, medium, or tall—so you can be sure you choose the ideal loft that's comfortable for your sleep style.
Medium-firm pillows are usually best for combination sleepers because they provide the right amount of support for side and back sleepers. If you often sleep on your stomach, too, you might want a softer pillow that will give you a comfortable lower loft when needed.
Pillows for combination sleepers are filled with several different materials, and they’ll each offer a different feel. Memory foam molds and contours to your head and neck, and some options use shredded foam that you can adjust to the most comfortable loft. Down and down alternative pillows are fluffy and moldable to support you where you need them most.
Since you'll be resting your head on your new pillow every night, you may want one that's been third-party tested for consumer safety. For example, a foam pillow with CertiPUR-US certification is free of heavy metals, ozone depleters, and other potentially harmful chemicals. Similarly, pillows with a Greenguard Gold label are certified to have low volatile organic compound (VOC) emissions.
Some pillows allow you to add or remove the filling for customized comfort to find the ideal loft for your sleeping style. If you think you'll want a loftier pillow, choose one that comes with extra filling that's easy to add as needed.
Down pillows are an excellent choice for breathability, but if you prefer down alternative or foam pillows, a few features enhance airflow. With foam pillows, look for options made with shredded foam. And no matter what type of filling you prefer, it's always good to choose a pillow with a breathable cover made from cotton or bamboo for added comfort.
What is Spruce Approved?
Here at The Spruce we want to ensure we fully stand behind every product we recommend, and that when we say something is the best, we mean it. You might have noticed The Spruce Approved badge next to the products on this list. Every product with this badge has been rigorously tested in person and carefully selected by our expert team of lab testers and editors. In most cases, we buy all these products ourselves, though occasionally we get samples provided to us directly by companies. No matter how we procure products, they all go through the same tests and must meet the same strict criteria to make the best-of cut. We also pride ourselves on transparency and will always let you know if we received a product for free.
Why Trust The Spruce?
This article was edited and researched by Cristina Sanza, a lifestyle writer specializing in home products and organization hacks. To keep our product picks current and help you choose the most comfortable pillow, she consulted dozens of customer reviews, third-party articles, and brand websites. In her search, she considered factors like loft, breathability, and price point.
Emma Phelps, an updates writer for The Spruce, updated this article with the latest testing insight from The Lab and home testers, who used these pillows in their homes for a month. Senior editors selected the final picks found in this roundup and Emma consulted lab testing results to update this product roundup with informational descriptions and insights. Emma has previous experience researching bedding and home decor products and interviewing experts in the bedding industry. We also reached out to Robert Hayden, DC, chiropractor and spokesperson for the American Chiropractic Association for his medical professional insight.
How do you properly sleep on a pillow?
To sleep correctly on a pillow, ensure that your head and neck are aligned in a neutral position and that your spine is straight. Choose a pillow designed to help you sleep comfortably, whether you tend to sleep on your side, stomach, back, or a combination of positions.
What are combination sleeper pillows made of?
Combination sleeper pillows may be made from solid or shredded memory foam, goose down, or polyester-fill down alternatives. Combination sleeper pillows may have adjustable stuffing to make it the proper density and height for your comfort and to support your neck and spine while you sleep.
How do you sleep on a side sleeper pillow?
Side sleeper pillows support your head and fill the space between your neck and shoulders. They have a medium firm construction that helps you keep your head and neck aligned. You can also bend your knees and place a pillow between them to help keep your spine straight.