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Ecosa Pillow Review (2022) — Great for neck pain?

Ecosa has been at the forefront of the mattress-in-a-box revolution in Australia. And now it’s also added bedsheets, weighted blankets, quilts and the Ecosa pillow to its portfolio. 

It’s no ordinary pillow and the looks say it all. Ditching the traditional design, Ecosa has put together a contour-shaped memory foam pillow (often referred to as cervical pillow), which curves and dips to cradle the head and neck in its natural state. The pillow can be further adjusted to achieve the height you desire while sleeping.

So with unique ergonomics and personalisation features, is Ecosa pillow the answer that people suffering from neck pain or looking for a supportive pillow have long been looking for? Read our full review to find out.

Ecosa Pillow Review

Table of Contents

With this table of contents, jump straight to the part of the review that you care about the most.

Ecosa Pillow Overview

From offering a contour-shape design to three height options and adaptive memory foam filling, the Ecosa pillow has a lot going its way.

Ecosa pillow’s contoured design supports the natural arch of the neck while the memory foam core provides support and pressure relief without ever feeling too firm. Further, the two height adjustment pads allow you to personalise the height of the pillow. All this delivers ample support to the neck in the right places and helps to achieve a healthy spine and neck alignment.

We think it’s an good option for those who struggle with back or neck pain or the back and side sleepers who want a supportive pillow. However, stomach sleepers (especially with the petite bodies) may find its raised edges awkward to sleep on.

Who might like Ecosa Pillow:

Who might not like Ecosa Pillow:

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Key Features

  • Price: $120.
  • It comes in one size 38cm x 56cm and fits in a standard pillowcase.
  • Being contour-shaped, the pillow has a higher (13 cm) and lower side (10 cm). You can use either side depending on you sleeping style and body type.
  • The centre of the pillow dips by 8 cm to hold the head comfortably while the raised edges support the neck and shoulder.
  • It comes with two pads that can be inserted inside the pillow to elevate its height.
  • The outer cover is made from double-knitted premium polyester (380g/m²), which is breathable and durable.
  • The inner core is made from memory foam.
  • Activated charcoal is blended in the foam to make the pillow odour- and bacteria-resistant.
  • It comes with two compressions bags to carry the pillow while travelling conveniently.
  • Free shipping across Australia.
  • 100-night trial with 100-days limited warranty. Returned pillows are donated to charities.
  • Designed in Australia, assembled in China.

My Experience

For your reference, I’m 5’8” tall with an average body weight and I like to sleep on the side on most nights. Which means, I switch to back or stomach sleeping once in a while.

I took the Ecosa pillow for a spin for a full week and this is what I think of it.

As a side sleeper, I like my pillow a bit firm and high. The higher side of the Ecosa pillow worked fine for me without having to use any elevation pads. The curved edges of the pillow moulded around the head and neck gently, relieving pressure points, while the head rested comfortably on the curvature.

Ecosa Pillow with Elevation Pads

My head felt cradled and cushioned. I did not experience much sinking nor did I toss and turn a lot as I usually do. I slept more peacefully all night and I feel it has to do with the pillow’s contour design.

While Ecosa recommends this pillow for all sleeping styles and body types, I feel it’s better suited for back and side sleepers. Back sleepers may prefer to sleep on the lower side while the side sleepers may find the higher side more comfortable. Stomach sleepers may find the pillow a bit tall to their liking but you’ve got a full 100-day trial to make up your mind if the pillow is for you.

When it comes to avoiding neck pain, your neck and spine should be aligned in the most natural way possible, which the contour design of the Ecosa memory foam pillow achieves very well. The contour design also alleviates the pressure points.

However, please reach out to a doctor to find solution to any pain or discomfort you maybe facing. Pillows can be a valuable support but they’re no replacement to medical advice.

All said, I think Ecosa pillow is an excellent pick for back and side sleepers who’re looking for a supportive and pressure-relieving pillow.

How Firm is Ecosa Pillow & How Does It Feel?

Firmness and feel are quite subjective. But by industry standards, the Ecosa pillow lies between medium and medium-firm. It’s neither too firm nor too soft, simply put.

In terms of feel, it is a bit squishy because of the responsive memory foam used, which moulds to the neck’s natural curve to support it. But it’s not as bad as lying down on a quicksand, if that’s what you are imagining. The pillow keeps your head floating.

The outer cover is breathable, soft to touch and feels luxurious. The cover has a bit of elasticity to it and hugs the pillow well, which I think would prevent the cover from clumping up in the long run.

Ecosa Pillow Memory Foam Filling

Sleeping Positions

I feel the Ecosa pillow would suit most body types (petite to heavier folks) in back and side sleeping positions. It owes this versatility to the two sleeping sides (higher and lower curves) and two elevation pads (of 2cm and 3cm thickness) it comes with.

The raised edges (on both sides) makes the pillow not the best fit for stomach sleepers, especially the petite ones. However, large sleepers may still be able to use the pillow in the stomach sleeping position.

Here is a table to show how the pillow may fair for sleepers across different weight groups:

 Under 58 kg58-104 kgAbove 104 kg
Side SleepersExcellentExcellentExcellent
Back SleepersExcellentExcellentGood
Stomach SleepersFairFairFair

Convinced? Get Ecosa Pillow

Pillow Construction & Design


Ecosa pillow comes vacuum-compressed in a relatively small form factor box. To decompress the pillow to its original size, you have to simply open the vacuum seal.

Ecosa Pillow Packaging

The pillow can take up to 10 hours to gain its full volume.

You also get an instruction manual and a travel carry bag for the pillow in the package.

Ecosa Pillow Box Contents


Ecosa pillow comes only in one size — 38 cm x 56 cm (W x L) and fits any standard pillowcase. Of course, you may experience a slight overhang if the pillowcase is bigger than Ecosa’s pillow.

Cover Material

The outer cover is a double-knit textured fabric made from premium polyester (380g/m²). The removable and washable cover inside is STANDARD 100 by OEKO-TEX certified, meaning that it’s proven to be 100% free from hazardous substances. Plus, it’s soft to touch and breathable.

Ecosa Pillow Memory Foam Core

Core Filling

Inside the pillow is a CertiPUR-US certified activated charcoal memory foam filling with a corrugated top layer designed to prevent heat and moisture build up, which is often a concern with memory foam. I also found the foam denser and much responsive. In other words, the pillow bounces back to its original shape seconds after I laid my head down it. I did not ‘sink in’, which is a common grouse with traditional memory foams.

As a rule of thumb, memory foam is always a good pick for pain relief. No matter how you sleep, it contours to your body type and sleep position and relieves pressure points.

In this case, the charcoal blended foam makes the Ecosa pillow naturally antimicrobial and prevents unwanted odour from building up inside.

Contour Design

The Ecosa pillow sports a slight ‘S’ contour design with the higher side measuring 13 cm, the lower side measuring 10 cm and the centre, 8cm. Additionally, there are two elevation pads of 2cm and 3cm thickness, which can be slid underneath the pillow to raise the its height.

Ecosa Pillow Contour Design

Research has proven that the contour pillows (link) do well for sleepers suffering from neck pain as it’s more effective in promoting proper neck and spine alignment. And Ecosa, with its unique offering, has taken contour cervical pillows to the next level. With a range of height customisation options, the Ecosa pillow can be personalised to the needs of a vast range of sleepers and body types.

Larger body types or broad-shouldered side sleepers may want to bolster their pillow with both height pads. Even side sleepers like more loft than back sleepers. Since sleep is such a personal thing, we suggest you put your head down on the pillow to decide whether or not you need these pads.

Ecosa Pillow Height Elevation Pads


The Ecosa pillow is portable too! It comes with two compression bags — one for flat vacuum packing and one for rolling. The pillow can be compressed down to 1/4th its size, making it easy to lug around.
Ecosa pillow travel bag

Pillow Performance

How does the Ecosa pillow hold up in the long run? We were as curious as you are. Let’s see.


Ecosa pillow sleeps temperature-neutral. Which means, it neither traps too much heat nor does it have special cooling gels to cool the pillow down. It’s just pleasant to sleep on. Thanks to the corrugated foam construction and a breathable outer cover that promote airflow and wick away the moisture. Like we told you, it’s not an ordinary memory foam pillow.


It comes with a measly 100-day warranty and we know it’s quite a turn-off. But given that it’s made from high-quality, dense memory foam and comes in a premium polyester casing, we think the Ecosa pillow should easily last you for a year or two, if cared for properly.


Ecosa pillow does produce off-gassing when it is unpacked but it’s minimal and it comes primarily from the memory foam core. Leave the pillow in a well-ventilated area and the smell should dissipate in a couple of hours.

How does Ecosa Pillow compare to other pillows?

We know you had your eyes on this question right from the start. So let’s get started.

Ecosa vs. Koala Pillow

Ecosa and Koala pillows are quite different from one another. While both companies claim their pillows are perfect for all types of sleepers and body types, we don’t think so.

Ecosa vs Koala Pillow

Ecosa is more of a specialty pillow tailored towards sleepers who want a supportive pillow or those who want a relief from neck pain. Its contoured shape may not work well for stomach sleepers.

On the other hand, the Koala pillow is a traditional-shaped memory foam pillow with a dual-firmness option. It’s slightly softer than the Ecosa pillow and works well in all sleeping positions. It does offer decent pressure relief and healthy spine alignment but not to the level of the Ecosa pillow.

I think the Koala pillow may be a good option for those who’re after a comfortable and cosy pillow and aren’t necessarily interested in a contour-shaped or pain-relieving pillow.

The Koala pillow might be better suited for:

  • Folks who like the traditional pillow design.
  • Back, Side, Stomach or Combination sleepers.
  • Hot sleepers.
  • Consumers looking for a better warranty — Koala comes with a 5-year warranty.
Read our full Koala pillow review here.

Warranty, Terms of Sale & Pricing


$120 (Buy two or more to save $20 on each)


Free Australia-wide delivery within 2-7 business days

Trial Period

100-night risk-free trial. Only one return of maximum two pillow is allowed per household. 


100-day limited warranty covering manufacturer defects

The Ecosa customer support seems to be prompt. All our queries were answered in less than 24 hours.

Returning the Ecosa pillow is also straightforward. You can either email the request to support@ecosa.com.au or chat with one of their executive agents in real time. You’d be asked to fill up a short survey about your experience and a return label would be shipped subsequently. Refunds are processed as soon as Ecosa receives the merchandise. The whole process can take up to two weeks.

Ecosa Pillow return policy fine print:

  • Return request can be raised after two weeks (14 days) of receiving the product.
  • Each household can request a return once and of a maximum of two pillows. It doesn’t matter how many times you have bought Ecosa pillows, you are allowed to place only one return order.

Buyer Reviews

With an aggregated rating of above 4.4 stars (out of 5), most Aussies had good things to say about the Ecosa pillow. Many buyers agreed that the Ecosa pillow helped ease up their neck and shoulder pain while some appreciated its height customisation option.

A small section of buyers complained that the pillow went softer with time but most of these cases happened within the 100-day trial period, which means, they could have it returned.


Ecosa is an excellent contour pillow. Anyone looking for a supportive pillow that promotes natural spine alignment will like this. I feel the pillow works best for back and side sleepers or those who experience neck discomfort in general. Add to this, you can trial the pillow for 100 days to see if you are a match made for each other.

The only major downside of this otherwise excellent pillow is that it comes with a 100-day warranty. Only 100 days.

Get Ecosa Pillow

James Lee

James Lee

James is the content director at WhatASleep, a certified sleep science coach from Spencer Institute and our in-house sleep product expert. Over three years, he's personally tested hundreds of mattresses. He likes to keep his reviews simple, objective, and straightforward so that the readers don't have to go through decision fatigue which is often the case while shopping for sleep products.

He hails from Sydney and has a journalism degree from the University of Queensland and an MBA from Melbourne Business School.

Ecosa Pillow Review



Overall Rating

Firmness Options: 3.5/5
Shape Retention: 4.90/5
Moldability: 4.5/5
Conforming: 4.0/5
Durability: 4.5/5
Trial Period: 5/5
Warranty: 3/5

2 thoughts on “Ecosa Pillow Review”

  1. Question: Between Ecosa and Koala pillow which one would you recommend for a sweaty sleeper? I’m particularly looking for a cooling pillow and have no history of back or neck pain. I’m not really looking for a cuddly pillow as I tend to change positions through the night and I don’t want to feel stuck. So something bouncy or supportive might be better for me.

    Thanks in advance.

    – Tom

    1. Hey Tom,

      Strictly from my personal experience extensively trying both Ecosa and Koala pillows, I feel for your situation Koala pillow might be better suited. Ecosa is good but Koala sleeps cooler and is more responsive. As it’s also dual-sided you can choose the level of bounce and support you need as well.

      I hope this was helpful.


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