I am 5'9" and cannot get my head into a comfortable position leaning against this so I have to tilt it in order position myself comfortably. I think this is useful of you want to sit upright in your bed but a headboard already largely serves that purpose and I want more of a recline, which actually could have been accomplished if this pillow were shorter. That said, this appears well made so I am giving it 4/5.
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