After much discussion, my husband and I decided on these medium firmness, high fill down pillows in King Size. They arrived quickly (love Overstock for quick delivery) and I put them right on the bed. I think that they are perfect -- definitely medium firmness. My husband finds them a bit full for his taste, but I love them. They are good quality and I can feel NO feathers sticking through. As I'm a bedtime reader, having 2 of these pillows to lie upon and sit up in comfort is wonderful. I have a lot of arthritis, so needed the support of a medium firm pillow. My husband would've preferred a softer pillow. Unless you are sure you want a more firm pillow, order a softer firmness. Great quality...holds their shape (so far).