Abstract: An adjustable cushioned pillow includes a set of cover panels, preferably circular, forming a closed volume, which is packed with a filler material. A sleeve with a hollow interior is disposed in a loop, also preferably circular, on one of the cover panels. The sleeve contains one or more openings allowing access to the sleeve's hollow interior. A drawstring having two ends is threaded through the sleeve's hollow interior with each end of the string protruding from one of the sleeve's openings. The pillow is adjusted for firmness by pulling the ends of the drawstring together with one hand while holding the pillow with the other hand or by pulling the ends of the drawstring in opposite directions. When the drawstring is pulled, the sleeve constricts and reduces the surface area of the cover panel on which the sleeve is located. In turn, the reduction of surface area reduces the volume of the pillow, compressing the filler material and increasing the firmness of the pillow.