The Sleep Number 360 i8 Smart Bed takes our top spot for its dual air chambers that allow each side to independently adjust firmness and elevation. For a more affordable alternative, the Saatva Solaire offers customizable air support with a luxury feel.
If you’re looking for a mattress that goes up and down, you’re likely after the benefits of an adjustable base without sacrificing comfort. These beds combine adjustable firmness or elevation changes with pressure relief and support, making them ideal for reading, watching TV, or managing health issues like acid reflux or sleep apnea.
Our editorial team compared specs, certifications (CertiPUR-US, OEKO-TEX), and aggregated owner reviews from verified purchasers. We ranked based on adjustability range, durability, customer satisfaction, and value. Below are our top 7 picks for the best adjustable mattresses in 2026.

Adjusts firmness and elevation independently on both sides. Dual air chambers allow up to 20 firmness levels. Smart features track sleep and adjust automatically.
We do not take payment for placement and we do not physically test products. Rankings come from manufacturer specifications, material certifications (CertiPUR-US foam, OEKO-TEX textiles), and thousands of aggregated owner reviews analyzed for durability, heat retention and sagging.

Couples and those wanting personalized comfort on each side · Type: Air Hybrid | Firmness: Adjustable (1-20) | Trial: 100 nights
Adjusts firmness and elevation independently on both sides. Dual air chambers allow up to 20 firmness levels. Smart features track sleep and adjust automatically.
What owners report: Owners praise the ability to eliminate motion transfer and customize each side. Many report improved sleep quality for partners with different preferences.
Value seekers wanting customizable firmness · Type: Air Coil Hybrid | Firmness: Adjustable (1-50) | Trial: 365 nights
Offers 50 firmness levels via adjustable air chambers. Made with organic cotton and European pillow top. Free white-glove delivery and setup included.
What owners report: Owners highlight the easy-to-use remote and comfort across many settings. Some note slight air chamber noise when adjusting.

Hot sleepers needing adjustability with cooling tech · Type: Memory Foam | Firmness: Medium-Firm | Trial: 90 nights
Combines Tempur material with adjustable base for head and foot elevation. Features SmartClimate cover for breathability. Quiet motor and wireless remote.
What owners report: Owners appreciate the cooling properties and zero-gravity preset. A few report the mattress is heavy and difficult to move.

Side sleepers needing pressure relief with adjustability · Type: Memory Foam | Firmness: Soft or Firm | Trial: 120 nights
Flippable mattress with soft and firm sides plus adjustable base. Copper-infused foam for cooling. Memory foam conforms to shoulders and hips.
What owners report: Side sleepers report excellent pressure relief on the soft side. Owners like the flippable feature for versatility over time.
Budget-conscious buyers wanting adjustability · Type: Memory Foam | Firmness: Medium | Trial: 100 nights
Affordable adjustable base with wave-like head and foot adjustments. Plant-based memory foam reduces environmental impact. CertiPUR-US and OEKO-TEX certified.
What owners report: Owners value the cost-effective adjustable base and responsive customer service. Some find the remote interface less intuitive.
Those who prefer a firm feel with adjustability · Type: Hybrid | Firmness: Firm | Trial: 100 nights
Firm comfort layer with adjustable base for head and foot incline. Uses gel memory foam and pocketed coils for support. WiFi-enabled remote.
What owners report: Owners who like firm support appreciate the stability. Some note the mattress is heavy and may require assistance to set up.

Couples wanting hybrid support with adjustability · Type: Hybrid | Firmness: Medium-Firm | Trial: 100 nights
Customizable hybrid with zoned support and adjustable base. Offers medium-firm feel with pocketed coils and memory foam. Includes breathable cover.
What owners report: Owners praise the balance of support and pressure relief. Some mention that the adjustable base is sold separately and adds cost.
An adjustable mattress is designed to be used with an adjustable base or has built-in adjustability that allows you to change the firmness level or elevate the head and foot of the bed. This can help with comfort, circulation, and alleviating conditions like sleep apnea or acid reflux.
Many owners find them worth it for the customizable comfort and health benefits. They can improve sleep quality for partners with different preferences and help with snoring or back pain. The cost varies widely, so it's important to compare features and warranty.
Not all mattresses are compatible. Memory foam and latex mattresses generally work well, while some innerspring mattresses may flex improperly. Always check the manufacturer's recommendation, and consider buying a bundle to ensure compatibility.
With proper care, adjustable mattresses can last 7-10 years or more. Air chambers and electronics may have shorter lifespans, so check the warranty. Look for models with at least a 10-year warranty on materials and construction.
Yes, many users report relief by adjusting the bed to a position that reduces pressure on the spine. Elevating the legs or head can improve alignment and circulation. However, results vary, and it's best to consult a healthcare provider for persistent pain.
The Sleep Number 360 i8 Smart Bed is our overall pick for its dual adjustability and smart features. For value, the Saatva Solaire offers excellent customization at a lower cost. For side sleepers, the Layla Adjustable Bed provides pressure relief with its flippable design.