We gave Claire a pillow when she was about 12 months. Its fairly flat and not particularly fluffy. She LOVES it. I dont know why, but she just loves it. Its like a toy sometimes. Sometimes, it HAS to come out of the cot in the morning and "sit" next to her when she has breakfast. When she got the pillow, she started sleeping alot better. Some nights she doesnt want it so she sleeps at the other end of her cot. Most mornings when I go in there, I find that she has moved the pillow. Sometimes she lies her entire body on the pillow. I actually made the pillow myself because I had a nice fabric I wanted to use for it.