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A pillow topper mattress is a mattress that has an additional layer of padding or cushioning sewn onto the top, creating a plush, soft surface. This pillow-like layer is often made from memory foam, latex, or other soft materials.

A pillow top mattress can be good for your back if you prefer a softer, more plush sleeping surface. The added cushioning can help alleviate pressure points, especially for side sleepers. However, it may not be suitable for everyone, as some individuals require firmer support for their spine.

The main difference between a mattress topper and a pillow top is that a mattress topper is an additional, removable layer of padding that can be placed on top of your existing mattress to improve comfort. Mattress toppers come in various materials, such as memory foam, down, or latex, and offer customizable softness or firmness.