Euro top mattresses are technically a type of pillow top mattress because they have additional padding to enhance softness. However, they are different from standard pillow tops because the extra layer of padding is stitched beneath the mattress cover rather than sewn to the top of it.

Like pillow tops, Euro tops are also made from a type of foam, wool, or fiberfill and commonly found on innerspring mattresses to enhance cushion and pressure point relief. Unlike pillow tops, there is no gap or v-shaped indentation to sink further into because Euro tops are stitched beneath the mattress cover. The construction results in a more supportive feel.

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