Choosing a pillow sounds simple—until neck pain, overheating, or constant repositioning turns “good enough” into a nightly compromise. In a 2026 head-to-head comparison using seven-night testing data, the Derila Ergo and Cloudpillo Original were evaluated across the factors that most directly affect real sleep outcomes: spinal alignment, ergonomic support, loft adjustability, temperature regulation, and suitability across sleep positions.
Both pillows score well, but they shine for different sleepers. The results highlighted a clear trade-off: Derila’s firmer, alignment-focused support vs.Cloudpillo’s softer, customizable loft and cooling. If you want the headline takeaway, it’s this: Derila Ergo (Editor’s Choice, 4.8) is the better pick for persistent neck issues for side and back sleepers, while Cloudpillo Original (Best Budget Luxury, 4.3) is a strong option for combination sleepers or hot sleepers who want plush adjustability year-round.
At-a-Glance Results (Based on 7-Night Testing Criteria)
| Category | Derila Ergo (Editor’s Choice, 4.8) | Cloudpillo Original (Best Budget Luxury, 4.3) |
|---|---|---|
| Spinal alignment | Standout strength for side/back sleepers; engineered for proper spinal alignment | Good, but more dependent on how you adjust the loft for your body and position |
| Ergonomic support | Firmer, alignment-led ergonomic memory foam support | Softer, plush support designed to shape to your sleeping position |
| Loft adjustability | More “set it and benefit” feel (less focused on customization) | Key advantage; adjustable loft for personalized height and feel |
| Temperature regulation | Comfortable for many sleepers; less emphasized than alignment support | Key advantage; temperature-regulating construction for every season |
| Best for sleep positions | Side and back sleepers, especially with neck pain concerns | Combination sleepers and those seeking plush, adjustable comfort |
Why These Two Pillows Were Compared
This comparison focuses on two popular “problem-solver” pillows with different approaches to better sleep:
- Derila Ergo (derilo pillow): An ergonomic memory foam pillow designed to promote proper spinal alignment and help relieve neck pain, described as ideal for side and back sleepers.
- Cloudpillo Original: An adjustable pillow designed to shape to your sleeping position, with temperature-regulating construction aimed at year-round comfort.
In practice, that means you’re choosing between two benefits that are both valuable—but typically felt in different ways night to night: structured alignment vs.plush customization and cooling.
Spinal Alignment: Where Derila Ergo Pulls Ahead
Spinal alignment is the foundation of “wake up feeling good.” If your pillow holds your head too high or too low (relative to your shoulders and mattress), your neck and upper back can spend hours under tension.
In the seven-night head-to-head, Derila Ergo performed as the more alignment-driven option. It’s described as an ergonomic memory foam pillow engineered for proper spinal alignment—and it shows in the overall positioning goal: keeping the head and neck supported in a way that’s especially compatible with side and back sleeping.
Who benefits most from Derila’s alignment focus?
- Side sleepers who want dependable support between head and shoulder
- Back sleepers looking for stable neck support without feeling “floppy”
- Anyone prioritizing neck pain relief through more consistent positioning
Benefit-driven takeaway: if your main goal is to reduce the nightly “micro-strain” that comes from misalignment, Derila Ergo’s firmer, support-forward feel is positioned as the more direct solution.
Ergonomic Support: Firmer Structure vs. Softer Shaping
Support isn’t just firmness—it’s how reliably the pillow holds your head and neck in a healthy position over time. During the comparison, the most noticeable split was in the support philosophy:
- Derila Ergo leans into ergonomic memory foam support with an alignment-first intent.
- Cloudpillo Original leans into plush comfort that shapes to your sleeping position, with support that you can influence through adjustability.
What this means in real sleep terms
- If you want your pillow to feel more like a support tool for your neck and upper spine, Derila’s profile is designed for that.
- If you want your pillow to feel more like a comfort layer you can tune and sink into—especially if you move around—Cloudpillo Original’s approach may feel more intuitive.
Benefit-driven takeaway: Derila tends to reward sleepers who want a consistent, “stay aligned” sensation, while Cloudpillo rewards sleepers who want a softer landing and adaptable feel.
Loft Adjustability: Cloudpillo Original’s Biggest Advantage
Loft (pillow height) is one of the fastest ways to improve comfort—because small height changes can significantly change neck angle. In this head-to-head, Cloudpillo Original clearly differentiates itself with adjustability, designed to adapt to your sleeping position.
Why adjustability can be a game-changer
- Combination sleepers can dial in a loft that works across more than one position.
- Sleepers who switch mattresses (guest room, travel, seasonal toppers) can re-tune the pillow height to match.
- People who like a plush, hotel-style feel can often get closer to that sensation with an adjustable design.
Derila Ergo, by contrast, is positioned more as a purpose-built ergonomic shape for alignment rather than a highly customizable loft system. That can be a benefit for people who want a straightforward, structured feel—but it’s not the same as being able to fine-tune height and softness.
Benefit-driven takeaway: if you love the idea of “making the pillow fit you,”Cloudpillo Original’s adjustable loft is the feature most likely to deliver that personalized win.
Temperature Regulation: Cloudpillo Original for Year-Round Comfort
Temperature issues are one of the most common “silent sleep killers.” Even if you fall asleep easily, heat buildup can cause tossing, turning, and lighter sleep.
In the comparison criteria, Cloudpillo Original stands out for temperature-regulating construction aimed at being comfortable in every season. That’s a practical benefit for:
- Hot sleepers who want a pillow that doesn’t feel stuffy
- People in climates with big seasonal swings
- Sleepers who want a consistently comfortable feel without constantly flipping the pillow
Derila Ergo emphasizes ergonomic support and alignment, and while many sleepers find memory foam comfortable, the head-to-head framing makes it clear that cooling and plush adjustability are Cloudpillo Original’s bigger calling cards.
Benefit-driven takeaway: if you’ve ever woken up because your pillow felt too warm, Cloudpillo Original’s temperature-regulating focus is a compelling advantage.
Suitability Across Sleep Positions
Matching a pillow to your primary sleep position is one of the highest ROI decisions you can make for comfort.
Derila Ergo: Best for side and back sleepers (especially with neck pain)
The Derila Ergo is described as perfect for side and back sleepers suffering from neck pain, with an ergonomic design intended to support proper alignment. If your nightly goal is to stay in a stable posture and wake up less stiff, this positioning is exactly what you want.
Cloudpillo Original: Strong for combination sleepers (and plush feel lovers)
Cloudpillo Original is positioned as a pillow that shapes to your sleeping position. That flexibility, combined with adjustable loft, makes it especially attractive if you rotate between side and back (or simply change posture frequently through the night).
What about stomach sleeping?
This comparison’s strongest recommendations are for side and back (Derila) and multi-position comfort (Cloudpillo). Stomach sleepers often need a lower loft to avoid neck extension; if you’re a dedicated stomach sleeper, a pillow’s ability to stay low and not prop the head up becomes the priority. In this head-to-head, Cloudpillo Original’s adjustability can be the more relevant trait for stomach sleepers who need to reduce loft—provided you adjust it to keep the profile low.
The Key Trade-Off Observed in the 7-Night Comparison
Over seven nights, the head-to-head summary comes down to a beneficial choice between two different “wins”:
- Derila Ergo: a firmer, more alignment-focused ergonomic pillow experience—best aligned with people dealing with persistent neck issues and those who primarily sleep on their side or back.
- Cloudpillo Original: a softer, more customizable pillow experience with cooling/temperature regulation and loft flexibility—especially attractive for combination sleepers and those chasing plush adjustability.
This is a great trade-off to have, because it means you’re not choosing between “good” and “bad.” You’re choosing between two solid paths to better sleep—one built around structure and alignment, the other around comfort customization and climate control.
Which One Should You Choose?
Choose Derila Ergo if you want the clearest path to alignment support
- You’re a side sleeper or back sleeper most nights
- You’re prioritizing proper spinal alignment as the main goal
- You want a pillow designed to help with neck pain relief through ergonomic support
- You prefer a firmer, more supportive feel over a plush sink-in sensation
Why it wins for the right person: Derila Ergo is positioned as an ergonomic tool for better posture in sleep—exactly the kind of targeted benefit that can make mornings feel noticeably easier for alignment-sensitive sleepers.
Choose Cloudpillo Original if you want adjustable, year-round comfort
- You’re a combination sleeper (you change positions and want the pillow to adapt)
- You want loft adjustability to dial in height and feel
- You’re a hot sleeper or you value temperature regulation across seasons
- You like a plush, “cloud-like” comfort approach more than firm structure
Why it wins for the right person: Cloudpillo Original is built around personalization—when your comfort needs change night to night, adjustability and cooling can deliver a more consistently satisfying sleep experience.
Ratings Recap: Editor’s Choice vs Best Budget Luxury
- Derila Ergo: 4.8 and labeled Editor’s Choice for its ergonomic, alignment-focused design.
- Cloudpillo Original: 4.3 and labeled Best Budget Luxury for adjustable, temperature-regulating comfort that adapts to your sleeping position.
Those labels reflect the core story of this comparison: Derila earns top marks for targeted ergonomic performance, while Cloudpillo Original delivers a strong value angle in the “luxury-feel, customizable comfort” lane.
Bottom Line
If your top priority is waking up with less neck tension and you primarily sleep on your side or back, Derila Ergo (4.8, Editor’s Choice) is the more alignment-driven pick—purpose-built to promote proper spinal alignment and support neck pain relief goals.
If you want a pillow that can flex with your sleep style—especially if you run warm or change positions—and you love a plush feel with adjustable loft and temperature regulation, Cloudpillo Original (4.3, Best Budget Luxury) is a compelling, comfort-forward option for year-round use.
Either way, the best outcome is the same: a pillow that matches your body and habits closely enough that you stop thinking about it—and start sleeping through the night more comfortably.