Best Medium Firm Pillow Top Mattresses


Our review process

We've already done all the grunt work researching medium firm pillow top mattresses. That way, you don't have to pour over confusing reviews about selecting the right one for you. By reading this article, you'll have an excellent grasp on what types of mattresses are available on the market, so you can confidently purchase a mattress that will ensure comfortable sleep for years to come.

We're here to help you out with your decision when choosing your new medium firm pillow top mattress. Pillow top mattresses are good at dissipating heat, providing a cool sleep temperature. They are designed with different types of coils to offer firm to plush support for added give. These mattresses have a layer sewn to the top of the mattress, which separates the pillow-top from the comfort layer, creating a balance of firmness and softness. With pressure-point relief, they will eliminate any stress in your joints. However, they are more costly than other kinds of mattresses, so if you're looking for a more affordable mattress, you should consider something else. Moreover, they can smell a bit like chemicals at first, so you should air them out for at least 24 hours before adding sheets. Medium firm mattresses are suitable for couples where one enjoys to sleep on their side and the other on their back or stomach. They are a great choice for those who tend to move from their back to sides throughout the night. However, they can become lumpy or sag with extended use, so your body won't be adequately supported while sleeping.

Best Overall Score
An image of Helix Dusk Luxe Medium Firm Pillow Top Queen-Size 14-Inch Individually Wrapped Pocket Coils Thick Mattress

For both comfort and support, choose the Helix Dusk Luxe Medium Firm Pillow Top Queen-Size Mattress and enjoy a restful night's sleep. With a medium firm comfort level, this HELIX mattress is perfect for those who rest on their back because it provides deeper spinal support. Available in a queen-size, it offers more legroom and more width than a full-size mattress. It has an edge support system, adding resistance around the edges of the mattress. It has a 14-inch thickness, preventing the mattress from sagging or losing its shape over time.

This thick mattress has a Helix Ultra cool cover, which is designed of a special material made to absorb excess heat and keep you cool at night. With a pillow top construction, it will have added padding and relieves hip and shoulder pressure. It has individually-wrapped pocket coils, which reduce disruption from you or your partner. It features gel Visco memory foam, Helix Dynamic Foam, poly foam, and Duradense Foam layers. With four layers, it provides you with support, ultra comfort, flexibility, and ultimate relaxation. This thick mattress has a supportive design, aligning your spine horizontally while sleeping on your side. Contouring to your body, it provides increased support and comfort. It has a 100 night sleep trial, which means that if it doesn't feel like the perfect mattress for you after that time, you can return it free of charge.

    Pros
    • Medium firm comfort level is great for people who require precise spinal alignment
    • Contours to the natural curves of your body for exceptional pressure point relief
    • Supportive design ensures proper spinal support and alignment
    Cons
    • Queen-size doesn't provide ample space for couples
    • Medium firm comfort level can put uncomfortable pressure on pressure points
    • 14-inch thickness may appear too large in some bed frames
Runner Up
An image of Priage Medium Firm Pillow Top Queen-Size Individually Wrapped Pocket Coils 10-Inch Mattress

For a combination of comfort and support, choose the Priage Medium Firm Pillow Top Queen-Size Mattress and enjoy a good night's sleep. With a 10-inch thickness, this Priage mattress can support a lot of weight so it won't sink in easily. It is available in a queen-size, offering a good amount of sleeping room without taking up a significant amount of space. With a medium firm comfort level, it provides the support necessary for spinal alignment. This Priage mattress features a pillow top construction, adding contouring and relieves back pain.

Featuring two layers, this Priage mattress supplies you with stronger pain relief and evenly spreads heat to keep you cool while sleeping. It has individually-wrapped pocket coils, so it reduces pressure points and optimizes comfort. It features support foam and HD foam layers. It reduces motion transfer, making it perfect for restless sleepers. This Priage mattress helps eliminate tossing and turning at night, drastically improving your quality of sleep.

    Pros
    • Medium firm mattress helps your body maintain good posture to prevent your back from curving
    • Built with individually-wrapped pocket coils to keep the mattress fresh and cool throughout the night
    • Eliminates motion transfer, making it ideal for restless sleepers
    Cons
    • Queen-size doesn't provide ample space for couples
    • Medium firm mattress can put painful pressure on pressure points
    • 10-inch thickness wears faster than other thicker mattresses
For Side Sleepers
An image of Restonic Cameron Medium Firm Pillow Top King-Size 14-Inch Mattress

For a good night's sleep and endless comfort, opt for a Restonic Cameron Medium Firm Pillow Top King-Size Mattress. This thick mattress is available in a king-size, so you have ample space to sleep comfortably. It has a 14-inch thickness, so your mattress won't sag in the middle or collapse on the sides. With a medium firm comfort level, it is perfect for people who sleep in different positions and those who move around a lot.

This thick mattress has a pillow top construction, which adds support and relieves back pain. It features pressure point relief technology, which supports the natural shape of your spine so that you are less likely to suffer from joint pains. This Restonic mattress has a supportive design, ensuring proper spinal support and alignment. It is suitable to use for standard box springs.

    Pros
    • Medium firm mattress keeps you aligned and comfortable all night long
    • Supportive design ensures proper spinal support and alignment
    • Provides pressure point relief, making it perfect for people who sleep on their stomach
    Cons
    • King-size can be difficult to move
    • Medium firm mattress can put painful pressure on pressure points
    • 14-inch thickness may appear bulky in some bed frames
Additional Picks
An image of Stearns and Foster Medium Firm Pillow Top King-Size IntelliCoil System Mattress

For a good night's sleep and ultimate comfort, select a Stearns and Foster Medium Firm Pillow Top King-Size Mattress. This Stearns and Foster mattress is available in a king-size, allowing partners to have plenty of their own individual sleeping space. Designed to contour to your body, it is tailored to each individual by targeting your body's specific stress areas. This Stearns and Foster mattress features a medium firm comfort level, providing stronger balance to pressure areas that we stress. It offers pressure point relief, minimizing tossing and turning at night. This Stearns and Foster mattress features a pillow top construction, adding support and relieves hip and shoulder pressure. It features a quilted cover, which stretches to fit a large mattress perfectly. This Stearns and Foster mattress has an edge support system, adding resistance around the edges of the mattress.

    Pros
    • Medium firm mattress is great for people who require precise spinal alignment
    • Contours to your body, increasing its overall support and comfort
    • Offers pressure point relief, making it perfect for stomach sleepers
    Cons
    • King-size can be difficult to move
    • Medium firm mattress can put uncomfortable pressure on pressure points
    • Pillow top construction has questionable durability
An image of Handy Living 325PT-FULL Medium Firm Pillow Top Full-Size Innerspring System 11-Inch Mattress

The Handy Living Medium Firm Pillow Top Full-Size Mattress is a good choice for an environmentally-friendly option, without destructive chemicals, as well as low in VOCs. This Handy living mattress features an 11-inch thickness, maintaining its quality and shape even after prolonged use. Available in a full-size, it is ideal for accommodating one sleeper. With a medium firm comfort level, it is perfect for people who sleep in different positions and those who move a lot. This Handy living mattress eliminates motion transfer, so you won't be awakened by movement.

This Handy living mattress features a pillow top construction, increasing contouring and relieves back pain. It is eco-friendly, which means they are designed with biodegradable substances. It has a stretch knit cover, keeping your mattress looking newer for longer. This Handy living mattress has a jacquard cover, which offers extra padding for a more comfortable feel and additional support.

    Pros
    • Medium firm mattress encourages a deeper sleep
    • Eliminates motion transfer, making it an excellent choice for restless sleepers
    • Full-size provides ample sleeping space that won't take up a lot of room
    Cons
    • Full-size does not reasonably accommodate couples
    • Medium firm mattress can put painful pressure on pressure points
    • 11-inch thickness may tend to appear disproportional in some bed frames
An image of Continental Sleep Medium Firm Pillow Top California King-Size 11-Inch Mattress

For optimal comfort and a restful night's sleep, choose the Continental Sleep Medium Firm Pillow Top California King-Size Mattress. Available in a California king-size, this Continental Sleep mattress provides extra room from bottom to top. It has an 11-inch thickness, maintaining its quality and shape even after prolonged use. With a medium firm comfort level, it is perfect for those who sleep on their back because it offers exceptional spinal support. This Continental Sleep mattress has a supportive design, aligning your spine horizontally while sleeping on your side. It has antimicrobial benefits, so it will stay clean and hygienic, even after years of use. It features a pillow top construction, adding contouring and relieves back pain. This Continental Sleep mattress is fire resistant, which is a safe choice for your home.

    Pros
    • Medium firm mattress is perfect for people who require precise spinal alignment
    • Antimicrobial benefits ensure a healthier sleep environment
    • Supportive design ensures proper spinal support and alignment
    Cons
    • Comes in a California king-size, reducing the width of sleeping space
    • Medium firm mattress can put painful pressure on pressure points
    • 11-inch thickness may appear disproportional in some bed frames
The Medium Firm Pillow Top Mattress for You: Some Things to Think About:
What Is the Ultimate Mattress Thickness for You?
10-12 Inch Mattresses

There are only two medium firm pillow top mattresses with a thickness of 10-12 inches. These mattresses have a sturdy build, making them more durable and able to sustain more weight. Less likely to cave in, they will provide proper support, even after prolonged use. They are suitable to use with standard-size sheets so that you can easily find sheets and other bed accessories that fit. With a standard thickness, they will conveniently fit in nearly all bed frames. However, these mattresses can be quite heavy, making them hard to transport and flip. If you think a 10-12 inch mattress is a good choice, check out this one.

14-16 Inch Mattresses

There's only one medium firm pillow top mattress with a thickness of 14-16 inches. These 14-16 inch mattresses are less likely to cave in, ensuring that you sleep in the correct posture to prevent joint pain. They have a solid construction, so they can hold the weight of two people. However, they are higher off the ground, making them harder to get into and out of. These are a few facts to help you decide what kind of medium firm pillow top mattress the best for you.

The Ins and Outs of Medium Firm Pillow Top Mattress Sizes
King-Size Mattresses

Looking for a good king-size mattress? The super comfortable medium firm pillow top mattress might be right for you. These king-size mattresses are perfect for master bedrooms and measure 76" X 80". They are designed to spaciously fit couples, offering plenty of space for you to spread out. One downside is that these mattresses are heavy and large, making them hard to transport and flip. On top of that, they are not ideal for small spaces, since they can make the room look somewhat cluttered.

Full-Size Mattresses

If you're in search of a full-size mattress, this super comfortable medium firm pillow top mattress might be a good choice for you. Full-size mattresses are perfect for couples, providing a closer fit between the two sleepers. They are suitable for studio apartments or other small living spaces and measure 54" X 75". However, they have a narrow width, so you will have limited space to move when sharing your bed with someone else. In addition, full-size mattresses are short in length, so they may not be a convenient option if you're 6'3" or taller.

Queen-Size Mattresses

Not sure whether you need a queen-size mattress? Read on to learn a bit about them. Queen-size mattresses are suitable for couples, offering enough space for two people. They are ideal for master bedrooms and measure 60" X 80". However, they are smaller compared to king-size mattresses, so if you like having a wider sleeping area, you should consider upgrading to a larger mattress. Another drawback is that they are not suitable for small spaces, taking up a majority of the free space in your room. Want to get a queen-size mattress? Try checking out this one.