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Comfort is key when you’re choosing a new mattress, and that means finding the right level of firmness.

The firmness of a mattress isn’t a measure of its level of support. Instead, mattress firmness refers to the top layer of the mattress — it’s what you feel when you lie down.

If you’re looking for a mattress that strikes a good balance between cushioning comfort and the support you need for a good night’s sleep, a medium-firm mattress can be a good choice. We rounded up eight of the best options to help you get started.

Firmness ratings

Most companies use a firmness scale from 1 to 10. One is the softest, and 10 is the firmest. A medium-firm mattress is typically between 5 and 7.

Keep in mind that the scale doesn’t include universal definitions. That means one brand’s 5 may feel a little different from another brand’s 5, and so on.


Many people prefer medium-firm mattresses because of their combination of comfort and support. But there are other benefits, too.

Some research suggests medium-firm mattresses can improve sleep comfort and quality. Other research has found self-adjusted, medium-firm mattresses may improve back pain.

Medium-firm mattresses can also be a good choice if your preferred sleep position varies. They’ll give you the support and cushion you need as you move from your side to your back to your belly.

Medium-firm mattresses also work well for lighter to moderate body weights. They’re also a good compromise if you share your bed with someone who prefers a firmer sleeping surface than you do (or vice versa).

We looked for mattresses that are rated medium-firm by each brand. To narrow down the list, here’s what we considered.

  • Safety and brand reputation. All of the medium-firm mattresses on our list comply with federal flammability standards and are made by reputable companies who stand by their products.
  • Materials certifications. We prioritized mattresses with third-party material certifications like CertiPUR-US, Global Organic Latex Standard (GOLS), and Global Organic Textile Standard (GOTS).
  • Free trials and warranties. Each mattress on our list comes with a free in-home trial and competitive warranty.
  • Customer reviews. We read through reviews on each brand’s site to see what customers say about them.

Pricing guide

Prices are based on a queen-size mattress.

  • $ = under $1,000
  • $$ = $1,000–$1,600
  • $$$ = over $1,600

Best medium-firm mattress for back pain

Saatva Classic Mattress

  • Price: $$
  • Type: Hybrid
  • Height: 11.5 or 14.5 inches

The Saatva Classic mattress is available in three firmness levels, but Saatva says the luxury firm is preferred by 82 percent of customers. It’s rated between a 5 and 7, offering a balance between cushioning support and uplifting support. You can also add an optional adjustable base to the Saatva Classic.

The Saatva mattress is recommended by leading U.S. chiropractors and earned the Congress of Chiropractic State Association’s seal of approval. It comes with a 180-night home trial and free white glove delivery.

Buy the Saatva Classic Mattress online.

Best medium-firm mattress for an adjustable bed

Saatva Solaire Mattress

  • Price: $$$
  • Type: Adjustable hybrid
  • Height: 13 inches

With 50 firmness options and six layers of comfort, the Saatva Solaire lets you choose the firmness level that suits you on any given night. An internal air chamber adjusts firmness gradually, while an organic cotton pillow top and memory foam layers provide cooling.

The mattress comes with a 25-year pro-rated warranty, a 180-night in-home trial, and free white glove delivery and set up, so you know how to use the remote properly. They’ll also haul away your old mattress upon request.

Buy the Saatva Solaire Mattress online.

Best medium-firm hybrid mattress

DreamCloud Luxury Hybrid Mattress

  • Price: $$
  • Type: Hybrid
  • Height: 14 inches

The DreamCloud is a luxury firm mattress rated at 6.5. Individually wrapped coils and two layers of pressure-relieving gel memory foam adapt to your body to give support as you sleep. A quilted foam and cashmere top can help regulate body temperature to minimize overheating.

Reviewers rave about the perfect blend of firmness and softness in the DreamCloud, which comes with a 365-night home trial, a lifetime warranty, and free shipping and returns.

Buy the DreamCloud Luxury Hybrid Mattress online.

Best organic medium-firm mattress

Naturepedic Chorus Organic Mattress

  • Price: $$$
  • Type: Hybrid
  • Height: 10 inches

The Naturepedic Chorus is an organic mattress made with a universal medium firmness level — think of it as the Goldilocks option. It’s designed to be just right for almost everyone.

Organic cotton and wool batting combine with a PLA layer made of non-GMO super cane, plus glueless support coils and micro coils for a supportive sleep surface.

The mattress ships free and has a 90-night sleep trial. Naturepedic also offers free returns and a 10-year limited warranty.

Buy the Naturepedic Chorus Organic Mattress online.

Best medium-firm mattress under $600

Tuft & Needle Original Mattress

  • Price: $
  • Type: Foam
  • Height: 10 inches

The Tuft & Needle original mattress is a medium-firm, all-foam option priced under $600. The proprietary adaptive foam is CertiPUR-US-certified for pressure relief and support, plus includes graphite and gel for cooling. The mattress is designed to be universally comfortable, no matter how you sleep.

T&N mattress comes with a 100-night sleep trial, so you can test its firmness at home for yourself. You’ll also get free shipping and a 10-year warranty.

Buy the Tuft & Needle Original Mattress online.

Best medium-firm foam mattress

Nest Bedding Love & Sleep Mattress

  • Price: $
  • Type: Foam
  • Height: 10 inches

With high-density, Greenguard Gold-certified foam and a cooling comfort layer, the Nest Bedding all-foam mattress provides a balance of bounce and support.

The nontoxic mattress is available in two firmness levels. Medium is listed at 5, with an optimal blend of adaptive and supportive foam layers. Firm is between and 7 and 8, offering more support. Both options are made with cooling fabrics.

Try it at home for 100 nights with free shipping, free exchanges, and free returns.

Buy the Nest Bedding Love & Sleep Mattress online.

Best medium-firm mattress for side sleepers

Leesa Hybrid Mattress

  • Price: $$$
  • Type: Hybrid
  • Height: 11 inches

The Leesa Hybrid mattress is rated as a 5 to 7, and it offers support no matter how you prefer to sleep — back, side, or stomach. Body contouring premium foams and more than 1,000 pocket springs can offer pressure relief.

The Leesa Hybrid comes with a 100-night trial, free delivery, and a 10-year warranty.

Buy the Leesa Hybrid Mattress online.

Best medium-firm mattress with pillow top

Avocado Green Mattress

  • Price: $$$ (with pillow top)
  • Type: Hybrid
  • Height: 13 inches (with pillow top)

Avocado’s natural mattress is made with GOLS-certified latex and GOTS-certified wool and cotton, plus over 1,400 tempered steel coils arranged in five ergonomic zones.

The pillow top is an extra expense, but it adds two permanently attached additional layers of organic latex. The pillow top is rated as gentle-firm — a 6 on the scale.

Avocado’s organic mattress comes with a 1-year trial and free shipping. It’s handmade in the United States and comes with a 25-year warranty.

Buy the Avocado Green Mattress online.

If you’re looking for a medium-firm option, there are a few things to consider.

  • Mattress ratings. Keep in mind that mattress ratings will vary from brand to brand, but they’ll serve as a good starting point. Look for something in the range of 5 to 7 on the scale.
  • Mattress type and materials. You can find medium-firm mattresses in hybrid, memory foam, or innerspring options. Innerspring mattresses use coils for support, while hybrid mattresses are a mix of coils and foam. There are a few types of foam mattresses, including memory and latex.
  • Material certifications. Make a point of shopping for mattresses with materials that have third-party certifications. That way, you’ll know the company has met stringent quality standards for safety.
  • Performance. Beyond firmness level, consider the importance of features like motion isolation, temperature regulation, edge support, and off-gassing. If you share your bed with a partner or you tend to sleep hot, you’ll want to find a medium-firm option that suits your needs.
  • In-home trials and warranties. Whether you’re shopping in-store or online, opt for a mattress with a generous in-home trial and easy returns or exchanges. Also, look for a brand that offers a warranty in case you run into issues.

Medium-firm mattresses are a popular choice for a reason. With plenty of support and a comforting feel, they work well for people with lower body weights, those who switch positions during the night, or people who share their bed with a partner.

Jessica Timmons has been working as a freelance writer since 2007, covering everything from pregnancy and parenting to cannabis, chiropractic, standup paddling, fitness, martial arts, home decor, and much more. Her work has appeared in mindbodygreen, Pregnancy & Newborn, Modern Parents Messy Kids, and Coffee + Crumbs. See what she’s up to now at jessicatimmons.com.