I have a bad neck, so finding a comfortable pillow can be tough. I have tried other pillows, even shredded memory foam ones, but the foam was large pokey blocks and it wasn't adjustable. That's why this pillow is nice, there is a good combination of large and small memory foam pieces, so you get a nice uniform consistency. The pillow case it comes with is very nice and slightly padded, which helps with not making the pieces noticable. And lastly, the main selling point for me, was the adjustabilSee full review