The present invention provides a pillow with an insert and lobe of sufficient curvature to enable the user to obtain the intended firmness effects. The pillow includes a compressible and resilient body having a top portion and a bottom portion and a rounded lobe which upwardly protrudes from the bottom portion. Formed within the lobe is an opening which has an insert shaped and dimensioned for snug contact therein. The radius of curvature of the opening is at least 60% of the radius of curvature of the lobe. Inserts of varying compressibility, texture, and contour may be employed in single or multiple openings. Additionally, the pillow may be reversible, offering the user increased versatility.
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