Home / Mattress toppers

Pillow top mattress topper: adding a plush layer to the bed you have

By the Life in Good Form editors. Updated 2026-10-13.

We research products from makers' specs and health sources; we do not run hands-on tests. Links to Amazon may earn us a commission at no cost to you. How this works.

Quick answerA pillow top mattress topper is a quilted, plush layer, usually filled with polyester fiberfill, down alternative or down, that sits on your mattress to give it the soft, raised feel of a pillow-top mattress. The Sleep Foundation describes these fills as lofty and cloudlike, notes they can flatten over time, and says pillow-tops often offer less pressure relief and durability than foam or latex. They suit people who want softness on a mattress that is otherwise fine. If you need deep pressure relief, look at memory foam instead.
Our picks at a glance
  • Quilted fiberfill pillow top topper with deep skirt. Best for: Adding softness to a supportive but hard mattress. See options on Amazon
  • Down alternative pillow top topper. Best for: People who want a down-like feel without down. See options on Amazon
  • Memory foam topper with plush quilted cover. Best for: Side sleepers who want soft feel plus pressure relief. See options on Amazon
  • Deep pocket fitted sheets. Best for: Anyone adding a lofty topper. See options on Amazon

Compare the picks and what to watch out for

Pillow top topper vs pillow-top mattress

On a mattress, the Sleep Foundation describes a pillow-top as an extra top layer, usually foam, latex, wool or fiber and typically 2 to 4 inches, whose edge is not attached to the layer below; a Euro-top is sewn flush at the perimeter. Pillow-top and Euro-top mattresses are typically 13 to 15 inches thick versus 10 to 12 inches for standard mattresses.

A pillow top topper copies the look and feel as a separate layer. The upside: you can add it, remove it, and wash or replace it without buying a mattress. Because the Sleep Foundation notes traditional pillow-tops are prone to sagging along the edges, a removable topper also means a worn layer is a smaller loss.

Fill options

FillFeelTrade-off
Polyester fiberfillLofty, cloudlikeCan flatten over time, the Sleep Foundation notes
Down alternativeSimilar to a pillowCan flatten over time
Down or featherSoft, lofty, natural fillSee our down vs feather topper guide
Memory foam with a quilted coverPlush top over contouring foamMemory foam is known to trap body heat

Who a pillow top topper suits

Thickness and fit

The Sleep Foundation says toppers are usually 1 to 4 inches thick: thicker toppers change firmness, pressure relief and motion isolation more, while thinner ones add light cushioning without much change. Plush toppers generally rate soft to medium soft. Because a pillow top topper adds height, the Sleep Foundation's note about pillow-top mattresses applies here too: you may need deep-pocket sheets. Look for an elastic skirt or corner straps so the topper does not slide.

Care and keeping the loft

What to look for when you buy

Quilted fiberfill pillow top topper with deep skirt

Best for: Adding softness to a supportive but hard mattress

Fiber fills give the lofty, cloudlike feel the Sleep Foundation associates with pillow-tops, and a skirt keeps it in place.

Watch out: Can flatten over time and gives less pressure relief than foam.

See options on Amazon

Down alternative pillow top topper

Best for: People who want a down-like feel without down

The Sleep Foundation groups down alternative with down as a lofty fill that feels similar to a pillow.

Watch out: Loses loft with use; check whether it is machine washable.

See options on Amazon

Memory foam topper with plush quilted cover

Best for: Side sleepers who want soft feel plus pressure relief

Combines a pillowy surface with foam, which the Sleep Foundation says contours closely.

Watch out: Memory foam is known to trap body heat; the foam is not machine washable.

See options on Amazon

Deep pocket fitted sheets

Best for: Anyone adding a lofty topper

The Sleep Foundation notes higher-profile pillow-top beds may need deep-pocket sheets.

Watch out: Measure mattress plus topper height first.

See options on Amazon
When to talk to a doctor: Pillow-tops do not always give enough support for people over 230 pounds; if you wake with back or hip pain, a firmer surface may suit you better, and pain that persists deserves a doctor's visit.

Questions people ask

What is a pillow top mattress topper?
A separate quilted layer filled with fiberfill, down alternative, down or foam that adds a plush, raised feel to your mattress.
Is a pillow top topper good for back pain?
It adds softness, not support. The Sleep Foundation says pillow-tops tend to offer less pressure relief than foam or latex; see our mattress topper for back pain guide.
How thick should a pillow top topper be?
The Sleep Foundation says toppers usually run 1 to 4 inches; thicker ones change the feel more.
Do pillow top toppers flatten?
They can. The Sleep Foundation says down, feathers and polyester fill can flatten over time, and that better fill and construction help them last.
Pillow top topper or memory foam topper?
Choose pillow top for plush softness on a supportive bed; choose memory foam for closer contouring and pressure relief.

Sources

Sources checked 2026-10-13.