This organic wool pillow is totally adjustable! Need more support? Just add more wool clusters. Take them out if you want a flatter pillow. This is a very squishy and malleable pillow which will conform to your head and neck, much like a down pillow. Unlike down, these wool puffs are safely sheared from sheep, year after year. This is a medium fill pillow, and is completely adjustable to give you just the right amount of support. This pillow is made in a scent free and chemical free facility.