I've never, ever slept on anything else but a foam pillow. To me, there's not another pillow that can compare to a foam pillow. It cradles your head, but gives very good support. In the past, I've always purchased them from the big box store at the mall, but found this one on OS and have been buying them from OS for years now. I hope they are always available. This particular pillow is not a firm pillow. It is between firm and medium....on the lower end of medium. It is a little less firm than what I like, but I love it just the same. It is so spongy soft and yet forms to your head and does not go flat. This is just a wonderful, comfy, and supportive pillow that I would recommend to everyone.