Best Mattresses for Combination Sleepers

The highest-rated beds for people who change positions throughout the night

By Luci Chavez

Combination sleepers change positions, sometimes multiple times, throughout the night, as opposed to spending the majority of their time in one position. They might fall asleep on their back, flip over to their stomachs and wake up on their sides. They might run through those permutations several times per night.

While tossing and turning can be a signal that your health is suffering or your mattress does not work for you, combination sleepers are usually comfortable and can sleep through the position changes. It is a quirk of their sleeping style. Besides, sleeping in multiple positions each night also gets your blood circulating, which is never a bad thing if you’re still waking up rested and ready to go.

In this guide, we’ll help you understand why mattresses for combination sleepers must be versatile. Then we’ll reveal our top-rated mattresses for combination sleepers, as well as some advice on how to get your best sleep regardless of sleep position.

If you’re ready to check out the best mattresses for combination sleepers, click on the button below to jump down to our selections.


There are pros and cons to each sleeping position. Sleeping on your back is considered the best sleeping position because it keeps your spine aligned naturally and is better for avoiding wrinkles. Sleeping on your side is great for spinal alignment and also helps with digestion. If you snore or have sleep apnea, you may find yourself sleeping on your stomach or side to improve your breathing.

You can see how those characteristics taken together present a challenge when looking for a mattress. Combination sleepers are asking a lot of their mattresses: support, contouring, responsiveness, pressure relief. You also need to consider body weight, partner sleep needs and personal preferences. Mattresses for combination sleepers have to do everything at once to ensure restful sleep. That is why combination sleepers need support, balance and versatility from their mattresses.

What should combination sleepers look for in a mattress?

If you’re a combination sleeper, you will want a mattress with excellent responsiveness because you will be changing positions so often. Also, you will need a mattress that has been constructed with enough layers to offer differentiated support, meaning the layers will react to the different pressure you put on it whether you’re lying on your side, your back or your stomach or some order in between.

Hybrid mattresses tend to be great options for combination sleepers. The variety of materials ensures versatility in how the mattress will perform. However, there are some memory foam mattresses with advanced technology that will provide the amount of support that combination sleepers need – typically at a lower price point too. Consider these specific things when you’re looking for the perfect mattress:


Combination sleepers will likely need a medium firm mattress. We’re talking about a 6-6.5 on the firmness scale. That level will accommodate the personal preferences of most sleepers, so it will accommodate most combination sleepers as well. There is some give for contouring and plenty of support underneath for people of varying weights. Also, you’ll need support so you don’t feel trapped inside the mattress. Soft is too soft. Medium-firm is likely what you’ll want.


The differentiation between layers at the top of your mattress will do the actual contouring work to relieve pressure on the curves of your body. When you sleep on your back, your mattress should absorb the curve of your butt. On your stomach, especially if you are on the heavier side, the mattress should contour around your tummy. If you’re on your side, the mattress has to cradle your shoulders, hips and thighs.

The mattress should push back enough to contour to your curves, distribute your weight and keep your spine aligned. The only line of your body that should be straight while you sleep is your spine. If your bones are in line with the mattress, your skeleton is out of whack and you’re asking for trouble.

At Mattress Advisor, we measure how well each mattress does at relieving pressure using a mapping device. Below you will see an example of a mattress that performed well in the pressure relief test and one that did not. The cooler the color, the lower the pressure. Combination sleepers should pay close attention to these maps when choosing a mattress.

Pressure relief test examples

What happens when you move at night? The mattress moves with you. What happens when the mattress moves? It takes some time to settle. Until it does, you’re not falling back to sleep. That’s why responsiveness is so important for combination sleepers. If you’re moving multiple times in the night, you could be wasting time waiting to fall back asleep. If you sleep with someone at night, also consider how well the mattress isolates motion. If your honey moves, you don’t want to feel it. You want a mattress that can isolate movement so you’re not jostled awake by someone getting out of bed earlier or using the restroom at night.


Combination sleepers should pay close attention to mattress layers and which materials are used in each. You want specific layers, at varying densities and thicknesses, for comfort and contouring and specific layers for support. You will need all of them if your mattress will capably adapt to all of the positions you will be sleeping in each night.

Some combination of memory foam for distributing weight, latex for contouring to your body and either innerspring coils or firm foam underneath for support, should meet your varying needs. For example, regular memory foam will distribute your weight and relieve pressure on the shoulders, hips and knees, while also allowing your spine to rest in its natural curved shape. Latex memory foam and gel memory foam do a much better job of bouncing back. Those materials normally offer a good response time when you’re moving at night.

Overall, look for a mattress built from multiple layers of materials with varying densities and thickness. Those will be best suited to fit the range of needs for combination sleepers.

Best mattresses for combination sleepers 

Here we have highlighted our top-rated mattresses for combination sleepers. If you want to read more about a particular brand, this next section is for you. Consider construction, materials, responsiveness and price to help you decide which mattress might be best for you.

All of the mattresses we’ve reviewed here come with at least a 100-night trial period and free returns. Even buying online, you can try them out in the comfort of your own home, risk-free. There is no better way to decide on a purchase that is so important to your health and well-being.

By clicking on the products below, we may receive a commission at no cost to you, the reader. It’s how we fund our Mattress Lab and bring you better mattress reviews and comparisons.

Accolade Mattress
Editor’s Pick ZenHaven
Best Pressure Relief Puffy Lux
Best for Hot Sleepers Brooklyn Aurora
Best for Active People Spartan
Best for Spine Alignment Leesa Hybrid
Best Value Tuft & Needle Mint
Most Responsive Casper
Runner-Up Purple .4

1. Editor's Pick


Editor's Pick
  • ZenHaven is a luxury, natural latex mattress made by Saatva that can be flipped for either soft or firm preference.
  • The latex in ZenHaven provides a bouncy yet supportive layer that responds quickly to movements throughout the night.
  • ZenHaven also comes with free White Glove delivery and setup.

Not only are we sleeping better, there’s no aches and pains in the morning."

Carrie B.
Customer Rating
4.9 / 5
MA Score
8.6 / 10

Soft side: 4-5/10; Firm side: 7-8/10

Trial Period

120 days

Why we love it

If you’re a sleeper who changes positions throughout the night, you need a mattress that can contour to the curves of your body. This helps to relieve pressure and respond quickly to your movements without making you feel like it’s swallowing you whole. The ZenHaven is an all-natural latex mattress that can handle both.

The ZenHaven scored high on responsiveness, pressure relief and spinal alignment. This mattress is also flippable with different firmness levels on each side. One side is luxury plush (about 4-5 on firmness scale) and the other is “gentle firm” (between 7-8). Saatva built the ZenHaven to have five different zones with varying support to ensure your spine stays aligned and relieves pressure at different spots along your body.

The natural latex also resists allergens, mold, microbes and dust mites. It is as close to an “all-natural” mattress as you will find anywhere. The ZenHaven can seem pricey, but not when you consider it has luxury materials, versatility and is hypoallergenic. It is a bit of a steal because it can handle all of your sleep position changes each night and costs much less than other luxury natural latex mattresses.

Read our full ZenHaven review here

2. Best Pressure Relief

Puffy Lux

Best Pressure Relief
  • The Puffy Lux is Puffy’s premier mattress model made with patent-pending Cooling Cloud Foam and the Puffy Cloud Cover.
  • The Puffy Lux’s Cooling Cloud & Plush Cloud Foam work in tandem to melt the stress and strain from your body’s pressure points.
  • The Puffy Lux received nearly perfect scores in our pressure relief and spine alignment tests!

Waking up in the morning is an overall soothing experience."

Customer Rating
5 / 5
MA Score
9.3 / 10

Medium-soft to medium: 5.5 - 7

Trial Period

101 days

Why we love it

The Puffy Lux mattress has a plush, soft top layer, but is firm enough to provide superior spine alignment and pressure relief. Its gel-infused memory foam uses convection and conduction technology to disperse heat away from your body, increasing airflow eight times more than standard foam mattresses.

The Puffy Lux is a great option for combination sleepers who need pressure relief no matter which position they end up in throughout the night. 

Read our full Puffy Lux review here. 

3. Best for Hot Sleepers

Brooklyn Aurora

Best for Hot Sleepers
  • Brooklyn Bedding’s patented Energex™ foam marries the bounce of latex with the pressure relief of memory foam – all in an open cell construction foam that promotes superior breathability and contouring properties.
  • The top layer is also made with TitanCool™, a water-based surface infusion that draws excess heat away from your body.

This is one of the best beds I’ve ever slept on."

Customer Rating
4.4 / 5
MA Score
8.9 / 10

Available in soft (3/10), medium (5/10) or firm (7/10)

Trial Period

120 days

Why we love it

The Brooklyn Aurora is one of our highest rated mattresses in part because this hybrid comes in three firmness levels to suit a range of tastes. Combination sleepers need the options and versatility the most.

The Brooklyn Aurora is suited to a combination sleeper who changes position throughout the night because it has excellent responsiveness. It is one of the best on the market for that. You also need a balance between contouring and support, which you can see through the Brooklyn Aurora’s high scores for spinal alignment and pressure relief.

Remember how we talked about combination sleepers needing different layers of material to handle the varying needs for each sleep position? The Brooklyn Aurora does have differentiated levels of support. There are materials at the very top to keep you cool, a layer beneath to enhance response time when you move around, a third for contouring to the body’s curves, and coils below the whole works for support.

Read our full Brooklyn Aurora review here. 

4. Best for Active People


Best for Active People
  • The Spartan mattress by Brooklyn Bedding is a luxury hybrid mattress designed for athletes and active adults.
  • It’s FDA approved Nanobionic® technology even converts body heat into energy while you sleep to aid in recovery.
  • The Spartan is available at three firmness levels to provide a personalized level of comfort and support.

I usually wake up in a completely different position than I went to bed and I still wake up super comfy."

Customer Rating
5 / 5
MA Score
9.2 / 10

Available in plush, medium, and firm

Trial Period

120 days

Why we love it

The Spartan mattress is a great option for combination sleepers because it provides exceptional responsiveness. This means the mattress adapts well to changes in sleeping position, conforming and contouring to your body’s curves as you switch from one sleeping position to another. A mattress’s ability to respond to movements quickly has a huge impact in overall comfort and sleep quality.

The Spartan also offers a personalized level of support – it’s offered in soft, medium and firm. This optionality is important for combination sleepers because the level of firmness they prefer can vary.

Read our full Spartan review here. 

5. Best for Spine Alignment

Leesa Hybrid

Best for Spine Alignment
  • Leesa Hybrid is a luxury hybrid mattress that’s sold at a competitive price point.
  • It provides a responsive sleep surface that reacts to your body as you move and change positions throughout the night.
  • The Leesa Hybrid scored exceptionally high in pressure relief and spine alignment tests.

This mattress is amazing."

Jenny H.
Customer Rating
4.5 / 5
MA Score
9.4 / 10

Medium-firm - firm: 7/10

Trial Period

100 days

Why we love it

The Leesa Hybrid is the highest rated mattress on Mattress Advisors for a host of reasons. Because the reasons vary, so too does its ability to adapt to the multiple needs of combination sleepers. Because the Leesa Hybird uses five different layers of materials to accomplish this, the mattress is well-suited to adjust as the combination sleeper does.

The luxury hybrid mattress made of foam and pocket coils do a superior job of responding to a combination sleepers shifts during the night and relieving pressure regardless of position. The medium-firm hybrid also logs in a perfect score for spinal alignment. That means our testers’ spines were straight as an arrow. 

Read our full Leesa Hybrid review here. 

6. Best Value

Tuft & Needle Mint

Best Value
  • The Mint mattress is one-step up from the original Tuft & Needle — but still priced economically.
  • The Adaptive® Foam in the Mint mattress is made with 30% more heat-wicking graphite than the original Tuft & Needle mattress, helping you stay cool throughout the night.
  • The Mint mattress scored especially high on spine alignment and responsiveness – making it a great option for combination sleepers.

Best mattress I've ever owned."

Customer Rating
4.9 / 5
MA Score
8.9 / 10

Medium: 5/10

Trial Period

100 days

Why we love it

The “Mint” edition of this Tuft & Needle offering is basically an enhanced and thicker version of their original all-foam mattress. The addition of a transition layer increased its ability to accomplish everything else combination sleepers need it to do. First and foremost, it does an excellent job keeping your spine aligned.

The Tuft & Needle mattress was already a good choice to respond to your movements and alleviate pressure at the shoulders, hips and thighs. Then Tuft & Needle made the top softer, the bottom firmer and added a transition layer that both contours and supports so you’re not falling straight into the firm layer below. The Mint version holds you up without throwing your spine out of alignment. It responds well and bounces back quickly when anyone moves on the mattress.

The key to the Tuft & Needle Mint is the adaptive foam in the transition layer. No matter how much pressure put on it, the layer reacts and pushes back to support you. The Tuft & Needle Mint, which is priced at an amazing value, is a quality find for combination sleepers.

Read our full Mint review here. 

7. Most Responsive Mattress


Most Responsive
  • Casper is a popular foam mattress that received a perfect score on responsiveness – meaning it does a great job of adjusting to your body positions as you move throughout the night.
  • The latest version of Casper has a new Zoned Support system that contours high-pressure areas like your hips, shoulders, and core to provide relief and support where it’s needed most.

I absolutely did not believe I would be sleeping this great."

Customer Rating
4.5 / 5
MA Score
9.1 / 10

Medium firm: 6/10

Trial Period

100 days

Why we love it

The Casper foam mattress does all the things that combination sleepers need a mattress to do. Specifically, Mattress Advisor gave it a perfect score on responsiveness, which combination sleepers should crave first. It does a masterful job adjusting to your body and settling you back in as you shift throughout the night thanks to a new transition layer.

The latest iteration of the Casper mattress is a medium-firm mattress that also offers a new system of zoned support, meaning they put different softer foam under your shoulders and firmer foam under your hips. The mattresses contours to each with ease and relieves pressure where it shows up the most. That means the Casper also does a near-perfect job keeping your spine straight in various positions.

Since the layers get firmer the further down you go, the Casper can both hold up and cradle your body where it needs it. The layers provide enough support and contouring regardless of sleep position because they will engage differently as your body weight and position changes. 


Purple Hybrid Premier (4")

  • The New Purple Mattress is available in 3 thickness levels to provide a personalized level of comfort and support.
  • The Purple .4 is the softest of the three thickness levels and is ideal for those who prefer a more cushiony feel. It is great for side sleepers, but still a good option for combination sleepers.
  • It offers pressure relief, motion isolation and natural airflow that keeps you cool.

The mattress sleeps very cool and comfortable."

Customer Rating
4.5 / 5
MA Score
8.5 / 10

Soft - 4/10

Trial Period

100 days

Why it’s a good choice

Purple .4 is a hybrid made of hyper-elastic polymer, foam and coils. Though the Purple .4 runs softer and less firm than most mattresses recommended for combo sleepers, it still features one of the best scores for spinal alignment in the industry.

The plush feel of the Purple .4 will readily adapt and settle as you change positions throughout the night. The polymer gives the Purple .4 more bounce than you might be used to with an innerspring mattress, but it also means you’re not sinking into the mattress with poor sleep posture.

The new materials at the top of the Purple .4 also accomplish two tasks at once: contouring to the body curves and isolating motion when a partner moves in bed. It relieves pressure on hips, shoulders and thighs, and reduces pain. The waffle-maker looking layer also prevents you from getting jostled when the person on the other side moves.

The “.4” in the product name refers to the thickness of that top layer. It is four inches. We recommend the thicker version for combination sleepers, but also available are a 3-inch medium firm version and a 2-inch firm version.

Honorable Mentions

Blank notebook, eyeglasses, cup of tea on white unmade bed

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Other sleep tips for combination sleepers 

Making sure you’re sleeping on a mattress that feels comfortable to you is your main goal when buying a new mattress. Comfort can equal relaxation and a relaxed body will more easily fall asleep and stay asleep. While your mattress is a large component to your sleep strategy, here are some other suggestions for combination sleepers to help you sleep fully and without pain:

When you’re sleeping on your side with your legs and torso fairly straight:

Your spine is elongated so it should alleviate pain in your neck and back. But you want to avoid having your neck sag down or get pushed up by a pillow that doesn’t support it. That can cause pain or pinched nerves. A firmer pillow will help your neck stay square to your shoulders and the cervical vertebrae in line with the rest of your spine.

Doctors also recommend sleeping on your left side if you’re pregnant because that will keep the uterus off of the major heart vessels on that side which returns blood back to the heart. Also, you can use a pillow between your legs will help keep the spine in line. It’s important to not curl too deeply into a fetal position on your side. That can also create soreness or morning pain. Stretch out and keep that spine elongated as much as you’re able.

When you’re sleeping on your stomach:

It’s not the best position by any stretch because of the strain it puts along your spine. But combination sleepers shouldn’t suffer as much since they’re already changing positions throughout the night. Sleeping on your stomach can ease breathing issues if you snore heavily or suffer from sleep apnea, but you don’t want to lift your neck up off the bed. It will throw your spine out of whack and lead to neck and lower back pain if it’s too high. A flatter pillow or no pillow at all should help. A pillow under your abdomen will also lift your hips enough to keep your body more in line with the rest of the spine. You can place your forehead on a flat pillow so you can still breathe.

When you’re sleeping on your back:

This can exacerbate lower back pain or sleep apnea, experts say it is the best option for most people. Your spine will be in its most natural position when you’re sleeping on your back. Keep your head low on a flatter pillow, but use a curved supportive pillow under your neck to keep it from collapsing. If you’re warding off acid reflux, your head will need to be above your stomach so acids don’t flow upward into your throat. Also, a rolled towel at your lower back and pillow beneath your knees will decrease the pressure and keep your spine aligned.

It’s not easy to settle on one mattress when it must fulfill so many needs for a combination sleeper. It has to do a lot as well as adapt to the changing needs of each sleeper.

So, we go back to the beginning: Look for mattresses that are sturdy in the support layer and use different materials to accomplish different tasks. If the mattress comes in different firmness levels, all the better for the fickle beast known as the combination sleeper.

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