This is a great pillow of you’re looking for soft support.  It says medium but it’s less firm.  You feel a little sunken in it, like sleeping on a cloud, but the down alternative filling makes it able to shift and mold it to whatever shape you’re looking for.  Since i have a cat who is quite large and sleeps on my head, the shape typically ends up flat.  It’s great for stacking with other pillow types and is comfortable.  If you like the soft cloud pillows for sleeping and don’t need support for any neckback issues, this is a good choice.  Incredibly soft material and filler is a good quality that doesn’t get lumpy.  Four stars only because of the description of the support being off.