Best Extra Firm Mattress
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Firmness is a key factor in how comfortable and supportive a mattress feels. Extra firm mattresses often use durable materials to provide strong support, minimal sinkage, and excellent temperature neutrality. And because they allow for very little sink, they’re popular with stomach sleepers who need a mattress that doesn’t sag under their midsection, as well as those with back pain who prefer a firmer bed with even support.
Our Top Picks
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Best Mattress Overall – Plank Firm Luxe
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Best Luxury Mattress – Saatva Classic – Firm
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Most Comfortable Mattress – Firmer WinkBed
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Best Mattress for Couples – Helix Dawn
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Best All-Foam Mattress – Plank Firm
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Best Mattress for Heavy Sleepers – Titan Plus
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Best Mattress Overall
Plank Firm Luxe
7.8 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
25% off sitewide. Code: PRESDAY25
The Plank Firm Luxe is a flippable hybrid mattress with firm (7) and extra firm (9) sides, making it an appealing choice for people who are uncertain what firmness they prefer, as well as those with changing needs. Excellent edge support allows you to use the entirety of the bed’s surface, and thin layers of foam make for a cool sleep even without the optional phase change material panel.
Price
$1,149
Mattress Type
Hybrid
Firmness Options
Firm (7), Extra Firm (9)
Trial Period
120 nights (30-night requirement)
At a Glance
- Who It’s Best For: Sleepers under 130 pounds, particularly stomach and back sleepers.
- Feel: Extra firm side provides the feeling of sleeping on top of the mattress rather than sinking into it. Despite this lack of contouring, the mattress has enough cushioning to promote relaxation.
- What It’s Made Of: Shared 6-inch pocketed coil support core. The extra firm side has a 0.75-inch quilted cotton-microfiber top and a 2-inch layer of TitanFlex latex-alternative polyfoam. The firm side has a 1.5-inch quilted layer over the same amount of high-density polyfoam.
- What We Don’t Like: Some people might experience soreness around pressure points.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 1748 validated customer reviews of the Plank Firm Luxe. This is what people who bought the mattress had to say:- Comfort and firmness: Many reviewers discuss the comfort level of the mattress, often highlighting its firm feel. While all of those bought the mattress for its firmness, a few people still found the bed too firm.
- Cooling features: Several reviewers mention the cooling features of the mattress, specifically the Glaciotex Cooling Cover, which is appreciated for providing a cooler sleep experience.
- Pain relief: A recurring theme is the relief from back and joint pain, with many users noting improvements in their sleep quality and reduction in pain. Many users report improved spinal alignment, especially those who prefer firmer mattresses.
- Dual firmness options: The mattress’s ability to be flipped for different firmness levels (firm and extra firm) is frequently mentioned and appreciated by those who have different firmness preferences.
- Edge support: A lot of reviewers mention the strong edge support of the Plank Firm Luxe.
- Off-gassing: A few reviewers note the presence of off-gassing when the mattress is new, but it typically dissipates after a few days.
- Customer service: Experiences with customer service are generally positive, with reviewers appreciating the responsive and helpful support team. The 120-night trial period and responsive customer service are frequently noted as key advantages.
Best Value Mattress
Brooklyn Bedding Signature Hybrid – Firm
8.0 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
25% off sitewide. Code: PRESDAY25
The firmest (8) model in Brooklyn Bedding’s Signature Hybrid collection features proprietary polyfoam with a latex-like bounce, giving it a unique feel that emphasizes support without sacrificing pressure relief. The bed’s responsiveness also makes it extremely easy to move around on, even when compared to extra firm mattresses that offer less cushioning.
Credit: Sleep Foundation Test Lab
Price
$999
Mattress Type
Hybrid
Firmness Options
Firm (8)
Trial Period
120 nights (30-night requirement)
At a Glance
- Who It’s Best For: Stomach sleepers and back sleepers above 130 pounds, as well as side sleepers above 230 pounds.
- Feel: Bouncy, responsive, and helps relieve pressure and muscle tension without much sink or contouring. Also sleeps quite cool for a foam hybrid.
- What It’s Made Of: Quilted cotton and polyfoam cover and a 1-inch layer of TitanFlex polyfoam over a 2-inch layer of transitional VariFlex polyfoam. The support core is an 8-inch layer of pocketed coils over high-density polyfoam.
- What We Don’t Like: Tends to transfer movement.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 11,922 validated customer reviews of the Brooklyn Bedding Signature Hybrid. This is what people who bought the mattress had to say:- Comfort and support: Many reviewers mention that the mattress is very comfortable and provides good support for various sleeping positions.
- Improvement in sleep quality: Several users report a significant improvement in sleep quality, including better rest and reduced pain.
- Firmness options: People appreciate the availability of different firmness levels, and some discuss their experiences with medium, firm, or pillow-top options.
- RV suitability: A number of reviews specifically mention using the mattress in RVs, noting it as a substantial upgrade from typical RV mattresses.
- Initial odor/smell: Some reviewers note a mild odor upon unpacking, but it typically dissipates quickly.
- Edge support: The mattress is often noted for having good edge support, which is particularly valued by those who sit on the edge of the bed.
- Price and value: Many reviewers feel the mattress is well-priced for the quality and comfort it provides.
- Durability concerns: A few reviewers express concerns about how the mattress will hold up over time, although these comments are not widespread.
Best Luxury Mattress
Saatva Classic – Firm
8.9 /10
Test Lab Score
Save up to $600
Save up to $600
The Saatva Classic combines the responsive hourglass coils of an innerspring mattress with premium features that rival the performance of pocketed-coil hybrids. Those features — like a transitional micocoil layer and a zoned memory foam lumbar pad — help the firm (8) model feel responsive but not soft while supporting proper spinal alignment.
Credit: Sleep Foundation Test Lab
Price
$1,795
Mattress Type
Innerspring
Firmness Options
Firm (8)
Trial Period
365 Nights ($99 Return Fee)
At a Glance
- Who It’s Best For: Sleepers above 230 pounds, as well as back and stomach sleepers between 130 and 230 pounds.
- Feel: Cushioned and sturdy with extra support through the spine, which may take time to adjust to.
- What It’s Made Of: Either a 4- or 7-inch support core of hourglass innerspring coils. Both versions feature a comfort system of a polyfoam and fiber fill Euro-top, a thin layer of polyfoam, and a zoned memory foam lumbar pad.
- What We Don’t Like: Movement transfers across sides.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 3308 validated customer reviews of the Saatva Classic. This is what people who bought the mattress had to say:- Delivery Service: Positive feedback on the delivery process is common, with customers highlighting the professionalism and efficiency of the delivery teams. The white glove delivery service, including old mattress removal, is frequently praised.
- Comfort and Support: Reviewers frequently cite the comfort and support of the Saatva Classic mattress, noting improvements in sleep quality and reductions in back pain. The availability of different firmness options caters to various preferences and needs.
- Durability: Long-term users report that the mattress maintains its comfort and support over the years, indicating good durability and quality construction.
- Material Quality: Customers appreciate the safe and high-quality materials used in the mattress, such as the absence of harmful chemicals and the use of organic cotton.
- Temperature Regulation: Some reviewers specifically mention sleeping cooler on the Saatva Classic, highlighting its temperature regulation features that contribute to a more comfortable sleep.
- Adjustability and Customization: The ability to customize the mattress for personal needs, like the split king option with different firmness levels, is a significant plus for many customers.
Most Comfortable Mattress
Firmer WinkBed
8.6 /10
Test Lab Score
$300 off all mattresses at Winkbeds
$300 off all mattresses at Winkbeds
A firm foam hybrid for sleepers who need more pressure relief.
Credit: Sleep Foundation Test Lab
Price
$1,499
Mattress Type
Innerspring
Firmness Options
Firm (7)
Trial Period
120 nights (30 night requirement)
At a Glance
- Who It’s Best For: Sleepers above 130 pounds, particularly side sleepers.
- Feel: Firm (7) with gentle contouring and above-average edge support and temperature control. Comfortable without feeling like you’re sinking into it.
- What It’s Made Of: Gel-infused polyfoam quilted into a Euro-top, followed by a layer of transitional polyfoam. Pocketed coil support core features seven zones.
- What We Don’t Like:Some might find the coils too bouncy.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 8573 validated customer reviews of the Winkbed. This is what people who bought the mattress had to say:- Quality of Materials: The mattress is frequently described as well-made, with durable materials that contribute to a good night’s sleep.
- Cooling Features: Some reviewers mention that the mattress does a good job of regulating temperature, providing a cooler sleep experience.
- Edge Support: While generally satisfied with the support, a few reviewers note that edge support could be better.
- Comfort and Support: Many reviewers praise the mattress for its comfort and support, often mentioning relief from back pain and improved sleep quality.
- Firmness Options: Customers appreciate the variety of firmness options available, finding the right balance for their personal preferences.
- Value for Money: Many users feel the mattress is worth the investment, offering good value for the quality and comfort provided.
- Made in the USA: Buyers are pleased that the mattresses are made in the USA, supporting domestic manufacturing.
Best Mattress for Couples
Helix Dawn
8.6 /10
Test Lab Score
25% off sitewide
25% off sitewide
The hybrid Helix Dawn is more balanced than many firm (8) mattresses, making it more likely to appeal to both you and your partner. It also features very good edge support and a noticeable amount of bouncy pushback, which are important considerations when judging how suitable a mattress is for having sex.
Credit: Sleep Foundation Test Lab
Price
$1,099
Mattress Type
Hybrid
Firmness Options
Firm (8)
Trial Period
100 Nights (30-Night Requirement)
At a Glance
- Who It’s Best For: Back and stomach sleepers over 130 pounds.
- Feel: Responsive and can help prevent pressure build-up while still giving you the feeling of sleeping on top of, rather than inside, your bed.
- What It’s Made Of: Comfort system is a layer of proprietary latex-alternative polyfoam over a firmer polyfoam layer. The pocketed coil support core is reinforced for better edge support and has a high-density polyfoam base. Standard cover is polyester, and a cooling cover is available for an additional fee.
- What We Don’t Like: May not be the right choice for sleepers with pre-existing joint or muscle pain.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 1268 validated customer reviews of the Helix Dawn. This is what people who bought the mattress had to say:- Comfort and Firmness: Many reviewers discuss the comfort and firmness of the Helix Dawn mattress, often noting its firmness level as suitable for back and stomach sleepers. Some find it perfectly firm, while others think it could be softer or firmer, indicating varied preferences for mattress firmness.
- Quality and Durability: Several reviews mention the quality of materials and construction of the mattress. However, durability concerns are raised, particularly regarding sagging and indentation after several months of use, which seems to affect the overall sleep quality and comfort for some users.
- Temperature Regulation: Some reviewers appreciate the mattress for not retaining heat, highlighting its suitability for hot sleepers. However, a few mention that the mattress still sleeps warm despite expectations of cooling features. Our tests indicated that the bed regulates temperature better than many hybrid mattresses, but any mattress with foam comfort layers will inevitably retain body heat.
- Price and Value: The Helix Dawn mattress is often praised for being reasonably priced. Reviewers frequently mention that it offers good value for the money, especially when compared to other similar mattresses on the market.
- Customer Service: Experiences with customer service are mixed. While some customers report excellent support and easy returns, others express frustration with service, particularly concerning warranty claims and responsiveness.
- Odor: A few reviewers note a noticeable off-gassing smell upon unpacking the mattress, which in some cases, takes a while to dissipate.
Best Mattress for Back Pain
Bear Elite Hybrid – Firm
8.2 /10
Test Lab Score
35% off + free pillows with code: SF35
35% off + free pillows with code: SF35
The Bear Elite Hybrid is a luxury hybrid designed with both cooling and restorative features. Its firm (8) model offers the sturdy support people look for in similar mattresses, while features like zoned foam and contoured cut-outs help reduce the pressure and muscle tension build-up that firm mattresses can cause.
Credit: Sleep Foundation Test Lab
Price
$1,499
Mattress Type
Hybrid
Firmness Options
Firm (8)
Trial Period
120 nights (30-night break-in period)
At a Glance
- Who It’s Best For: All sleepers except side sleepers under 130 pounds.
- Feel: Moderate amount of contouring. Feels like sleeping both on and in your mattress without sinking too far.
- What It’s Made Of: Quilted cover of polyester, cooling phase change material, and Celliant fibers. The comfort system is copper-infused memory foam and zoned polyfoam, while the support core consists of pocketed coils over a high-density polyfoam base.
- What We Don’t Like: On the expensive side.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 3703 validated customer reviews of the Bear Elite Hybrid. This is what people who bought the mattress had to say:- Comfort and Support: Many reviewers highlight the mattress’s balance of comfort and support, often mentioning relief from back pain and improved sleep quality.
- Firmness Options: Customers appreciate the various firmness options, with some opting for firmer versions after experiencing discomfort with medium firmness.
- Temperature Regulation: Several reviews note the mattress’s ability to stay cool, which enhances sleep quality, especially in hot weather.
- Size and Upgrade Options: Customers are pleased with the availability of different sizes and the option to upgrade, which provides flexibility for different needs and preferences.
- Quality of Additional Products: Positive remarks on the quality of accompanying products like pillows and sheets, which are often included as free additions.
- Miscellaneous: Some mixed reviews on edge support and occasional comments about the mattress being too firm or too soft for some users’ preferences.
Best Mattress for Back and Stomach Sleepers
Nolah Evolution 15 – Firm
8.2 /10
Test Lab Score
25% off sitewide. Save an additional $50 with code: SF50
25% off sitewide. Save an additional $50 with code: SF50
The Nolah Evolution 15’s firm (8) model is a hybrid mattress that includes a range of cooling, comfort, and support features. Zoned foam and zoned pocketed coils work together to provide extra support in areas like the hips, which helps maintain a neutral spinal position no matter how you sleep.
Credit: Sleep Foundation Test Lab
Price
$1,624
Mattress Type
Hybrid
Firmness Options
Firm (8)
Trial Period
120 nights (30-night requirement), $99 return pickup fee
At a Glance
- Who It’s Best For: Stomach and back sleepers above 130 pounds, as well as side sleepers above 230 pounds.
- Feel: Likely to sink into slightly but not at the risk of losing the supportive feel.
- What It’s Made Of: Cooling ArticTex fibers in the organic cotton cover and zoned AirFoam in the comfort system. Quilted polyfoam Euro-top and two separate polyfoam layers over a pocketed coil support core and a recycled fiber base.
- What We Don’t Like: Height requires deep-pockets fitted sheets and may prove difficult for those with mobility concerns.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 897 validated customer reviews of the Nolah Evolution 15. This is what people who bought the mattress had to say:- Motion Isolation: Couples frequently mention that the mattress is good at isolating motion, making it less likely for one partner to disturb the other during the night.
- Edge Support: The edge support of the mattress is frequently highlighted, with many finding it adequate for sitting or sleeping near the edge without feeling like they will roll off.
- Softness: Many reviewers discuss the softness of the mattress. Some find it too soft, causing discomfort, especially for heavier individuals, while others appreciate the plushness.
- Comfort and Support: Several users mention that the mattress provides excellent comfort and support, helping alleviate or prevent back and joint pain.
- Heat Retention: A few reviewers note that the mattress retains heat, making it uncomfortable for some, particularly in warmer climates or for those who sleep hot.
- Durability and Quality: Users often comment on the high quality and durability of the mattress, noting that it maintains its shape and comfort over time.
Best All-Foam Mattress
Plank Firm
7.7 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
25% off sitewide. Code: PRESDAY25
If you’re not sure whether firm (7) or extra firm (9) is best for your needs, the all-foam Plank Firm gives you the chance to choose one or flip between the two from night to night. The closely-contouring foam provides enough pressure relief to help prevent muscle tension, while the high-density core keeps things sturdy.
Credit: Sleep Foundation Test Lab
Price
$999
Mattress Type
Foam
Firmness Options
Firm (7), Extra Firm (9)
Trial Period
120 nights (30-night requirement)
At a Glance
- Who It’s Best For: Back and stomach sleepers.
- Feel: Extra firm side is extremely stable with minimal contouring. Firm side is slightly plusher, though still with very little sink.
- What It’s Made Of: A 7-inch polyfoam support core. The extra firm side has a 1.5-inch layer of very firm quilted foam, while the firm side has a 0.75-inch layer of quilted foam with a 2-inch layer of TitanFlex polyfoam.
- What We Don’t Like: Hot sleepers may need the cooling panel for an extra cost.
Scoring & Reviews
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 3177 validated customer reviews of the Plank Firm. This is what people who bought the mattress had to say:- Firmness and Comfort: Many reviewers appreciate the firmness of the mattress, mentioning that it provides good support for their back and helps alleviate back pain. Some note that it is the firmest mattress they have ever used, which suits their needs perfectly.
- Flippable Feature: Several customers like the flippable design of the mattress, which offers different levels of firmness. This feature is highlighted as a significant advantage, allowing users to choose according to their comfort preference.
- Edge Support: A common issue pointed out by some reviewers is the softness of the mattress edges. They mention that while the mattress itself is firm, the edges do not offer as much support, which can be a concern for those who sit on the edge of the bed or sleep close to the sides.
- Temperature Regulation: There are mixed reviews regarding the heat retention of the mattress. Some users find it comfortable and cool, while others report that it retains heat, which can be uncomfortable for those who tend to sleep hot. Our tests indicated that the bed regulates temperature better than most foam mattresses, but any foam mattress will retain body heat.
- Odor and Off-gassing: A few reviewers mention a noticeable off-gassing smell upon unpacking the mattress, but most report that it dissipates after a few days. This is typical with many new mattresses but is worth noting for those sensitive to smells.
Best Mattress for Heavy Sleepers
Titan Plus
8.0 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
25% off sitewide. Code: PRESDAY25
The same mattress that is comfortable and supportive for one person may be significantly less so for someone who weighs more. The Titan Plus is a firm (8) hybrid that was designed for sleepers above 230 pounds, with responsive latex-alternative polyfoam and strong pocketed coils to help ensure you receive the right amount of support and pressure relief.
Credit: Sleep Foundation Test Lab
Price
$1,049
Mattress Type
Hybrid
Firmness Options
Firm (8)
Trial Period
120 nights (30-night requirement)
At a Glance
- Who It’s Best For: People above 230 pounds, as well as stomach and back sleepers between 130 and 230 pounds.
- Feel: Moderate contouring and a balanced feel.
- What It’s Made Of: A 1-inch layer of quilted gel-infused memory foam above a 2-inch layer of proprietary latex-alternative TitanFlex polyfoam. The support core is a 6-inch layer of very thick pocketed coils over a base of high-density polyfoam.
- What We Don’t Like: Extra-bouncy, which transfers motion.
Scoring Breakdown
The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.
We performed a meta-analysis on 2753 validated customer reviews of the Titan Plus. This is what people who bought the mattress had to say:- Firmness Level: The Titan Plus is exceptionally firm – some users appreciate this quality, others say the mattress doesn’t provide enough cushioning.
- Supportive for Plus Size: The mattress was originally designed for plus-size people, and many users who fall into this category enjoy the extra reinforcement and pushback.
- Edge Support Issues: Users are generally satisfied with the mattress’s edge support, with most saying they can sit or sleep along the perimeter without feeling like they’re going to roll out of bed.
- Motion Transfer: Some owners who sleep with a partner report strong motion transfer and, in some case, sleep disruptions resulting from movement.
- Odor: Users say the foam layers emit off-gassing smell for the first 24 to 48 hours, but little to no odor after that.
- Positive Customer Service Experiences: Many highlight Brooklyn Bedding’s convenient, mattress-in-a-box delivery system and hassle-free trial period.
- Sturdy Support Core: A well-constructed support core, often made from high-density foam or a reinforced innerspring system, ensures the mattress maintains its firmness and supports the sleeper’s weight effectively.
- Minimal Comfort Layers: Extra-firm mattresses typically have thinner comfort layers to maintain a solid surface feel, minimize sinkage, and promotes proper spinal alignment.
- Durable Materials: High-quality materials, such as dense foams or sturdy coil systems, enhance the mattress’s longevity and performance.
How We Evaluated & Reviewed
Meta Analysis: Of the 2,000+ mattresses in our product database, 607 qualify as firm or extra firm. Using historical testing data and construction analyses, our team chose the top 30 for additional in-depth evaluations.
Hands-On Testing: In our Seattle Test Lab, our team evaluated each of the top 30 extra firm models for motion isolation, edge support, and ease of movement. We had testers lie on various parts of the bed and measure how deeply a mattress compresses and how long it takes to return to its original shape. We also measure pressure relief with pressure pad mapping technology.
Field Testing: Once we finished our lab tests, we sent each bed home with a member of our testing team to sleep on for up to two weeks to gauge how a mattress performs in real-world sleep environment.
User Reviews: We collected data from more than 37,000 verified customer reviews to help us determine whether our team’s findings match customers’ experiences.
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Best Mattress Overall
Plank Firm Luxe
7.8 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
Shop NowA hybrid mattress that can be flipped between firm and extra firm.
See More Details
Best Value Mattress
Brooklyn Bedding Signature Hybrid – Firm
8.0 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
Shop NowProprietary foam gives this affordable hybrid a firm yet balanced feel.
See More Details
Best Luxury Mattress
Saatva Classic – Firm
8.9 /10
Test Lab Score
Save up to $600
Shop NowThis firm innerspring uses microcoils and zoned foam for extra bounce and support.
See More Details
Most Comfortable Mattress
Firmer WinkBed
8.6 /10
Test Lab Score
$300 off all mattresses at Winkbeds
Shop NowA firm foam hybrid for sleepers who need more pressure relief.
See More Details
Best Mattress for Couples
Helix Dawn
8.6 /10
Test Lab Score
25% off sitewide
Shop NowA hybrid mattress that balances its extra firm feel with bouncy latex-alternative foam.
See More Details
Credit: Sleep Foundation Test Lab
Best Mattress for Back Pain
Bear Elite Hybrid – Firm
8.2 /10
Test Lab Score
35% off + free pillows with code: SF35
Shop NowA high-end hybrid mattress with zoning and cut-outs to encourage a neutral spinal alignment.
See More Details
Best Mattress for Back and Stomach Sleepers
Nolah Evolution 15 – Firm
8.2 /10
Test Lab Score
25% off sitewide. Save an additional $50 with code: SF50
Shop NowAn extra-tall hybrid mattress with zoning for targeted support.
See More Details
Best All-Foam Mattress
Plank Firm
7.7 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
Shop NowA dual-sided all-foam mattress with firm and extra firm options.
See More Details
Best Mattress for Heavy Sleepers
Titan Plus
8.0 /10
Test Lab Score
25% off sitewide. Code: PRESDAY25
Shop NowA firm and supportive hybrid mattress designed for sleepers above 230 pounds.
See More Details
Who Should Sleep on an Extra Firm Mattress?
Stomach and Back Sleepers
Mattresses range in firmness levels to suit different body types and sleeping positions. On a firmness scale from 1 to 10, extra firm mattresses measure 9 or 10. Many back sleepers and most stomach sleepers prefer mattresses on the firmer side, ranging from medium firm to extra firm (6 to 10), as it helps keep the spine and hips in alignment. On an overly soft model, a stomach or back sleeper’s middle could sag, potentially straining their lumbar region.
Larger Individuals
Body type also makes a difference. “Generally, a person of higher body weight may require more support to prevent discomfort when sleeping,” says sleep medicine specialist Brandon Peters, M.D. For this reason, stomach and back sleepers over 230 pounds may particularly benefit from an extra firm mattress.
How to Choose the Best Extra Firm Mattress
Mattresses are a significant purchase that makes a huge impact on your sleep quality. To make the buying process less daunting, we spell out the major characteristics to look for to identify the best extra firm mattress for your needs:
Firmness Level
Mattresses are available in a variety of firmness levels, but manufacturers often use their own terminology, such as plush or luxury firm. Sleep Foundation uses a consistent 1 through 10 scale to rate firmness across all the mattresses we test. Those rated between 9 and 10 qualify as extra firm.
Pressure Relief and Contouring
In some sleep positions, certain body parts naturally dig into the mattress more than others, which can cause discomfort due to increased pressure. Pressure relief refers to a mattress’s ability to redistribute weight to limit pressure points. This performance trait is more common in plusher models, though extra firm models may include surface-level cushioning.
Closely tied to pressure relief, contouring is how a mattress conforms to the shape of a sleeper’s body. Extra firm mattresses typically offer less contouring compared to softer models. However, the reduced contouring also contributes to enhanced support.
“Rather than sinking into a plush surface, a stomach sleeper (or someone who is heavier) will benefit from the firm support,” Dr. Peters says. “Greater contouring will diminish interaction with the more supportive understructure of the mattress.”
Sleeping Position
Sleeping position — whether on the stomach, back, or side — directly impacts an individual’s mattress needs, since some positions require more support and others call for more contouring. Generally, extra firm mattresses are most appropriate for back and stomach sleepers. However, some side sleepers over 230 pounds may also consider an extra firm sleep surface.
Price
Extra firm mattresses come in a wide array of price-points, typically ranging from around $300 to over $3,000. Some luxury models sell for significantly more. Prices vary based on size, material quality, craftsmanship, and brand. Some manufacturers offer extended sleep trials, warranties, or White Glove delivery service (setup of new mattress and removal of the old one), which the mattress price can also reflect.
Quality Materials
The quality of the materials can help determine a mattress’s lifespan and durability. This is especially important for an extra firm mattress to maintain its support over time. High-quality materials, like latex, usually increase the price tag, but the initial investment often pays off with a longer mattress lifespan.
Motion Isolation
Motion isolation is when a mattress prevents the movements of one partner from disturbing another sharing the bed. Because extra firm mattresses have less give, they may be more prone to motion transfer than similarly constructed models with a softer feel. Mattresses with more contouring are typically better at absorbing motion.
Temperature Regulation
“A cool environment is important to enhance deeper sleep,” Dr. Peters says. “Most people should sleep in a bedroom that is 60 to 68 degrees. If someone experiences night sweats, this cooling may be even more important.”
Extra firm mattresses limit how deeply sleepers sink into the bed, allowing air to flow freely around their bodies. This exceptional air circulation reduces heat buildup, making extra firm models popular with hot sleepers.
Many hybrid, latex, and innerspring models further enhance the temperature regulation thanks to their breathable designs. Foam mattresses are more likely to trap heat but often include features like gel infusions and phase change materials to improve temperature regulation.
Edge Support
Due to their sturdy construction, most extra firm mattresses have exceptional edge support. Since they limit edge sinkage, sleepers should be able to use the full mattress surface comfortably, including sitting or lying along the perimeter. Some models also use a more rigid material around the edges as reinforcement.
Types of Extra Firm Mattresses
Whether hybrid, innerspring, foam, latex, and airbed, most mattresses share a basic method of construction. However, they differ on a range of other characteristics, such as quality, materials, firmness, temperature regulation, and price point. You can find extra firm models of nearly every mattress type.
Hybrid
Description: A hybrid mattress combines the traits of an innerspring mattress with those of a foam or latex model. The comfort layer may include several inches of foam, latex, or both for contouring and pressure relief. Beneath that, a coil core provides strength, durability, bounce, and breathability. Because of their balanced performance, hybrids are often popular with couples.
Highlight: Extra firm hybrid models often use relatively thin comfort layers to limit sinkage. Denser comfort layer components can also enhance the firmness, and their coil cores naturally contribute to a firmer feel.
Innerspring
Description: Innerspring mattresses are a classic design that relies on metal coils. An innerspring mattress pushes back against your movements, creating a springy, responsive sensation. And thanks to ample air circulation through the coil system, innerspring mattresses tend to stay cool throughout the night.
Highlight: Innerspring mattresses are naturally on the firmer side because of their coil construction, particularly those with very thin comfort layers. Most extra firm models use an especially thick coil gauge for more rigid support.
Foam
Description: All-foam mattresses generally use memory foam, polyfoam, or a combination of the two in the comfort system. The core uses high-density polyfoam for support.
Foam models are well-known for their contouring and motion isolation, though they can trap heat and often have weak edge support. Increasingly, manufacturers incorporate cooling features like gel-infused covers or ventilated designs to regulate temperatures and reinforced perimeters to bolster the beds’ edges.
Highlight: While foam mattresses tend to be on the plusher end of the firmness spectrum, a handful of extra firm options are also available. Extra firm foam models usually consist of primarily high-density polyfoam with little to no comfort layer.
“As a coil mattress is more unforgiving, a firm foam mattress may provide the additional contouring desired by those who want a slightly softer give,” Dr. Peters says.
Latex
Description: Latex mattresses are made of natural latex, synthetic latex, or a blend. Latex varies in formulation and density, providing different firmness levels. The Dunlop manufacturing process produces denser, more durable latex than the Talalay process. Therefore, you’ll see Dunlop latex in most extra firm models.
Highlight: They respond quickly to changes in pressure and spread compression over a wider area, leading to springy responsiveness. The bounce and breathability of latex mattresses make them a good option for couples and hot sleepers, though it may also allow vibrations to spread. Eco-conscious customers also frequently favor natural latex models. Latex mattresses have an above-average price, but they should resist sagging to provide even support for many years.
Airbed
Description: Airbeds are among the most expensive and durable mattresses. They use an electric air pump and chamber system to offer an adjustable firmness level. Typically, each partner can set their own firmness, making airbeds ideal for couples with distinct preferences.
Highlight: While an airbed can be a good option for combination sleepers or those with varying preferences, many top out at a firm (8). Sleepers looking for a true extra firm mattress may struggle to find the level of support they desire. However, models with thinner comfort systems generally feel a bit firmer.
How We Test: Your Comfort Is Our Science
Our industry-leading product testing team cares deeply about improving your sleep. Having a holistic understanding of a mattress’s role as part of a sleep system is paramount to our testing process. Since a bed’s comfort and feel depend largely on body weight and sleeping position, our testing team represents a wide range of body types, sleep positions, and comfort preferences.
In our Seattle-based Test Lab, we use an objective, hands-on process to evaluate mattresses across performance categories. The following are the key guidelines that inform our performance ratings. Our ultimate goal is to ensure you have all the information you need to make the best purchase decision for you.
Construction analysis: Mattress construction plays a major role in our ratings system. We begin our testing with a top-to-bottom analysis of each mattress, making note of its materials, firmness, thickness, and other physical attributes. Price-point is another major factor as we assess quality of materials and overall value.
Quantitative product testing: For hands-on testing, our team members take turns lying and moving on each mattress. This immersive process helps us evaluate beds for performance categories like motion isolation, pressure relief, ease of movement, and temperature control.
Field testing: Once we’re finished testing a mattress in our lab, one of our team members takes it home and sleeps on it in their own bedroom for two to three weeks. Field testing helps us understand how each mattress performs in the long term.
User feedback: In addition to our team’s testing data, we draw from customer surveys and product reviews to calculate our final ratings. This helps us ensure our findings are consistent with real-world experiences.
How We Determine Our Overall Scores
To determine a mattress’s overall score, we assign weighted percentages to performance categories based on how important they are to the individual sleep experience. For instance, areas like pressure relief and temperature control tend to matter more to people than something like off-gassing, and because more people sleep on their side and back than on their stomach, we weigh those positions more heavily.
Performance Categories
Motion Isolation
This criteria alludes to the amount of motion a mattress absorbs when a sleeper moves on the surface. We use two testers lying side by side to evaluate motion isolation, who each feel for transfer while the other person moves on the mattress.
Temperature Control
To determine how well a mattress regulates temperature, we perform temperature tests and look closely at its materials and construction. Many mattresses are designed with cooling components meant to reduce heat retention.
Pressure Relief
A bed with strong pressure relief excels at preventing pressure from building up in areas like the shoulders and hips. Beds with even contouring and weight distribution are top performers when it comes to pressure relief.
Off-Gassing
A mattress in a box may release unpleasant chemical odors for a short period after you’ve unboxed it. The initial smell may be strong but typically fades within 2 or 3 days.
Ease of Movement
This criteria reflects how easily a sleeper can move across a bed’s surface. Responsive surfaces made of latex typically perform better than foam surfaces, which can inhibit movement.
Edge Support
We perform sit tests along a bed’s perimeter to measure how well the edges push back against weight. Mattresses with strong edge support have minimal sagging when sleepers sit on or lie close to the perimeter.
Dive Deeper – Mattress Guides by Feel
If you’re not sure you’ve found a bed that suits your needs, you can narrow down your search by reviewing our recommendations by mattress feel.
Best Mattress by Firmness Level
Frequently Asked Questions
What is the firmest mattress type?
All mattress types are available in a variety of firmness levels, though innerspring and latex models tend to feel slightly firmer due to their pushback. That said, materials make all the difference. Denser foam or latex typically creates a firmer surface, and thick metal coils can lend to a sturdier feel.
Is an extra firm mattress good for back pain?
Some sleepers find that an extra firm mattress is good for their back pain, but the ideal firmness still depends primarily on the sleeper’s body type and position preference. Most sleepers get the right balance of support and contouring from a medium firm or firm mattress. However, individuals over 230 pounds and stomach sleepers may need additional support to promote good posture and relieve back strain. For these sleepers, an extra firm model may be best.
Is an extra firm mattress good for side sleepers?
Extra firm mattresses aren’t usually ideal for side sleepers. A side sleeper’s shoulders and hips press harder into the mattress, so they typically prefer a softer model that contours closely to promote spinal alignment and ease pressure where the body contacts the mattress. However, some side sleepers over 230 pounds may enjoy an extra firm model’s added support.
Is there a big difference between firm and extra firm mattresses?
The difference between a firm and an extra firm mattress is a matter of degree. While a firm mattress may have a bit of cushioning, an extra firm model has very little give. Many back sleepers and stomach sleepers find a firm mattress ideal. However, a stomach sleeper over 230 pounds might prefer the added support of an extra firm mattress.
Still have questions?
Our product experts have extensive experience testing just about every sleep product on the market.
Send an email to [email protected] with your questions and we’ll help you find exactly what you’re looking for.
Logan is a Certified Sleep Science Coach with a deep understanding of what it means to struggle with sleep. Her years of experience researching and testing sleep products – including mattresses, natural sleep aids, and bedding – are critical to her role helping lead the editorial team. As a chronic insomniac, she aims to bring her findings to anyone struggling with getting adequate rest. Her expertise is in creating informative, trustworthy, and useful health content. When she’s not testing mattresses or researching CBT-I, she enjoys spending time in the sunshine with her husband and her dogs Pepper and Winston.
Brandon R. Peters, M.D., FAASM, is a double board-certified neurologist and sleep medicine specialist and fellow of the American Academy of Sleep Medicine who currently practices at Virginia Mason Franciscan Health in Seattle. He is a leading voice in sleep medicine who works at the cutting edge of medicine and technology to advance the field.