It looks exactly as pictured. It is super firm. I use it on and off.... it kinda hurts my ear, which disturbs sleep. Also, it may be a little thin for you if you are an average to large person. I have to prop it up on my shoulder to have my head lay in line with my neck and spine. It would be very good if I could sleep on my back full time... but the only way I can do that is sleep propped up. I am not upset about buying it, but that is because it wasn't that expensive. I won't buy another one when this one wears out.