Leesa Premium Foam Pillow Review

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The Mattress Nerd’s Take: The Leesa Premium Foam pillow is made with a solid piece of memory foam that’s ideal for anyone who likes their pillow to closely conform to their head and neck. At 5″ thick, it’s best suited to back and side sleepers, but is probably too lofty for most stomach sleepers. The foam is ventilated with tiny channels that improve breathability, so the pillow stays temperature neutral, which is a big bonus for hot sleepers.

Leesa Premium Foam Pillow

Leesa Premium Foam Pillow

The Leesa Pillow is made with a solid piece of memory foam that’s ideal for anyone who likes their pillow to closely conform to their head and neck. At 5″ thick, it’s best suited to back and side sleepers, but is probably too lofty for most stomach sleepers. The foam is ventilated with tiny channels that improve breathability, so the pillow stays temperature neutral, which is a big bonus for hot sleepers.

Mattress Nerd Score
4.40 / 5 starstarstarstarstar
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Accessories Details


Memory foam

Trial Period
Trial Period

30 nights


1-year warranty


Not Available

Shipping Method
Shipping Method

Free shipping

Return Policy
Return Policy

Free returns

Who It’s Good For

  • Side sleepers
  • Back sleepers
  • Those with lightweight or average-weight body types
  • Memory foam pillow lovers

Who It’s Not Good For

  • Stomach sleepers
  • Those who like to fluff or fold their pillow
  • Extremely hot sleepers

What is the Leesa Premium Foam Pillow Made Of?

Polyester-Lycra Pillowcase

The pillowcase for the Leesa Premium Foam pillow is made with the same quilted gray twill fabric as the Leesa mattress (read our full Leesa memory foam mattress review for more details). This material is woven from polyester and stretchy lycra, which gives it the feel of a comfy sweatshirt. You can use the pillowcase alone or layer another one on top. 

Premium Performance Foam

The original version of this pillow was made with Avena foam (a latex-like foam), but the new pillow is made with a single piece of polyurethane foam that’s molded with ventilation channels and cut with curved edges around the perimeter. This foam is similar to the memory foam used as the Recovery Layer in Leesa mattresses.

The foam is 2.5 on the foam density scale, which means that it’s high-quality, high-density, and durable. There’s more foam material packed into each square inch than you’ll find in a basic polyfoam pillow, so it’s slower to bounce back from pressure—a common characteristic of memory foam.


Mattress Nerd Pillow Scores

At Mattress Nerd, we consider a handful of factors when rating sleep products. For pillows, we pay close attention to the pillow temperature, quality of materials, neck alignment, adjustability, ease of care, and customer service.

Cooling: 4/5

The foam is ventilated with small channels that keep it breathable. We can’t say that this is a distinctly cool pillow, but it’s definitely not hot. It’s more temperature neutral.

Alignment: 4/5

From top to bottom, the pillow measures 5” tall. This loft level is best for side and back sleepers since it’s lofty enough to keep their neck aligned with their spine. It’s too tall for most stomach sleepers.

Adjustability: 3/5

While you can fold this pillow in half, you can’t really adjust it otherwise. It holds its shape, so you don’t need to fluff it regularly like you would with a microfiber or down pillow. The Leesa Foam has a medium-firm firmness level and feels dense, but compresses easily under pressure.

Quality of Materials: 5/5

The Leesa Premium Foam pillow is made with high-quality CertiPUR-US certified performance foam, and the cover is made with a soft, breathable polyester-lycra blend.

Care: 4/5

To machine wash the pillowcase, remove it from the pillow using the zipper along the side of the case. Use cold water and a mild detergent, and then tumble dry on low heat. Then spot clean the foam core, use a sponge or cloth with cold water, and air dry completely. 

Customer Experience: 5/5

The Leesa customer support team is friendly and ready to answer any questions from 9AM to 9PM EST. Pillow customers get a 30-night trial period to get the feel of the pillow. This is shorter than the industry standard of 100 nights, but it’s still enough time for the average person to make a final decision. The pillow warranty lasts for three years, which is longer than the one-year industry average.

Total Score: 4.2/5

Side Sleeping

The high loft of this pillow should work for most side sleepers, but those with broad shoulders may need a taller pillow to maintain spinal alignment. The foam provides plenty of pressure relief for the neck and head.

Back Sleeping

The Leesa Premium Foam pillow has a medium loft, but most sleepers sink around 1.5” into the foam, which is ideal for back sleepers of all body types. 

Stomach Sleeping

Stomach sleepers need a lower loft to prevent their neck from arching upwards. With that said, the pillow compresses a fair bit, so you may be able to keep your neck and spine aligned if you tuck your arms under the pillow, which lifts your head closer to the height of the pillow.

Score for Side Sleepers Score for Stomach Sleepers Score for Back Sleepers
4.5/5 2/5 5/5



  • Breathable: The breathable construction helps to keep hot sleepers’ heads from overheating.
  • Supportive: The foam is dense and contouring, so it provides excellent neck support.
  • Durable: The materials used in this pillow are high-quality and durable, so they’ll last you longer than a cheaper, lower-quality pillow.


  • Price: The Leesa pillow costs more than your standard off-the-shelf polyester pillow.
  • Firmness: Some reviewers say the pillow is too firm for their comfort preference.

Sizing, Pricing, and Policies

Standard18″W x 26″L x 5″H$89
King18″W x 32″L x 5″H$109


Leesa pillows are made in the USA, so shipping is free and takes between two to eight days. Once your order is shipped, you’ll receive a tracking email from Leesa, so you can view shipping updates in real-time.

Sleep Trial

Leesa pillows come with a 30-night trial period. If you decide that the pillow isn’t a good fit, you can return it for free using a prepaid label from Leesa. You’ll receive a full refund of the price you paid.

Warranty Coverage

The Leesa Premium Foam pillow is protected against manufacturing defects by a 3-year warranty. If your pillow is deemed defective, you’ll be eligible for a replacement pillow or refund.

FAQs about the Leesa Pillow

Are foam pillows worth it?

Foam pillows are a great option for anyone prioritizing pressure relief. That means if you experience neck or shoulder pain, the foam will support the area and relieve tension.

Are gel memory foam pillows good for side sleepers?

Yes, very good. Gel memory foam pillows tend to excel at pressure relief, which means your head and neck will be well supported while sleeping on your side.

How does the Leesa pillow compare to other pillows?

The Leesa foam pillow has a simple design that satisfies the majority of customers, but doesn’t include some of the bells and whistles that competitor pillows do (for example, cooling gel infusions, multiple thickness options, or adjustability). Price-wise, it’s on par with competitors like Casper and Nectar, and is even on the low end.

The Nerd’s Final Take: Should You Buy It?

The Leesa Premium Foam pillow isn’t compatible with all sleeping positions as advertised, but it will appeal to the majority of sleepers. The memory foam is dense enough to support your head and neck, but soft enough to feel cozy and cushioning. The breathable channels in the foam enhance the overall comfort of the pillow by preventing heat retention.

We recommend it to back sleepers, side sleepers, and those with average-weight or heavyweight body types. Lightweight side sleepers may find that the extra height keeps their neck well supported, but the pillow is probably too tall for petite back sleepers. You should keep shopping if you’re a stomach sleeper or prefer the light, airy feel of down or the mold-ability of shredded foam or microfiber

Overall, this is a well-reviewed pillow, and we’re big fans, so if you’d like to give it a try, you can always see what the hype is about during the 30-night trial period.

Want to learn more about Leesa? Check out these other reviews:

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