I have never cared for standard pillows, because they were either too soft, burying my face in them, or made of foam, which I'm allergic too, if I breathe it in too long.
Some time ago, I made a custom pillow using a zippered sham, which wasn't too bad, but more recently, I discovered a use for an old army sleeping bag in the closet. I rolled it tightly into a cylinder shape, then tied it with the straps provided on it, then added a matching green bungee taken from a fatigue jacket.
Now, I have a head/back support for just about any position that I choose in bed, whether sleeping, watching TV, etc. I have never understood the popularity of regular pillows.