I purchased this pillow because I’ve recently gotten conch piercings in both ears. It’s made a world of difference and it’s keeping my piercings safe and making it possible to sleep. This would be super handy for people using earbuds at night for ASMR or to listen to music before they fall asleep. It is a little firm, however it can be adjusted by removing some of the fluff inside. Which is mentioned in the listing and in instructions that are included. So any other reviews complaining about the firmness should be disregarded since those consumers could easily solve their own problems if they used their eyes and simply read. I haven’t removed any of the fluff from mine yet just because I prefer the firmness right now. It’s also not so firm your head would be uncomfortable. I want the firmness for piercing reasons so it’s all about preferences. I say if you’re in the market for a pillow like this either because of fresh piercings, you use earbuds or you have other ear concerns and can’t have pressure on them then buy this. It definitely helps, serves its purpose and makes sleeping more comfortable during the healing process. Also my photo is just after taking it out of the packaging and doing the recommending squishing and whatnot. It’s supposed to reach its full shape after 24 hours, but honestly it’s pretty good right out of the box after you give it the required squishing and fluffing all around.