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Healthiest Pillowcases

By Dr. Meg Christensen | Updated January 2026

Organic pillowcases matter even more than sheets—they're the fabric touching your face for 8 hours every night. GOTS-certified cotton, linen, and silk options that are soft, breathable, and free from toxic dyes or finishes.

Organic and OEKO TEX Silk Pillowcases

AIZOME GOTS Certified Organic Cotton Pillowcase

AIZOME's 100% organic cotton pillowcases are the best organic cotton pillowcases to sleep on because you can choose either undyed or plant-dyed versions. Beyond organic, they still do have GOTS certification, and these make a soft, breathable, super healthy sleep surface for your face and entire body.

SIJO GOTS Certified Organic Linen Pillowcase

If you like the look and feel of breathable linen, SIJO makes affordable organic linen pillowcases with GOTS certification— truly a unicorn in the bedding world.

Quince OEKO TEX Certified Silk Pillowcase

One of the softest things you can put your face on, and especially good for dry skin, Quince’s natural silk pillowcases are OEKO TEX certified. While they’re not strictly organic, they are more affordable, and certification ensures they’ve been tested for over 100 harmful chemicals and are dyed with safe dyes. I also appreciate that they’re not exaggerating with fake or unverifiable GOTS symbols, like so many silk brands do! Made of 100% mulberry silk.

Clementine GOTS Certified Organic Silk Pillowcase

Clementine offers four types of organic silk pillowcases, and is the only silk pillowcase brand so far that transparently displays their GOTS certification number— meaning these pillowcases start organic and stay organic. Made of super high quality 6A silk, you can choose from lots of OEKO TEX certified colors, or pearl white, which is undyed. They also have options made with silver and infused with skincare, if you’re feeling fancy.

Sunrise Alarm Clocks

Non-Toxic Pillows

More Healthy Design For You

More About Organic and Healthy Pillowcases

Do organic pillowcases really make a difference for skin health?

Yes. Your pillowcase is in direct contact with your face for 8 hours every night. GOTS-certified organic and OEKO TEX certified options are free from formaldehyde finishes, azo dyes, pesticides, and sweat-trapping that can irritate skin, clog pores, or disrupt your skin barrier.

Research shows that formaldehyde-based resins used in wrinkle-resistant pillowcases can cause contact dermatitis and allergic reactions, and certain azo textile dyes commonly used on polyester have been linked to skin sensitization. Natural fibers like cotton and silk are more breathable than synthetics, allowing better air circulation and moisture regulation—both important for preventing acne and supporting a healthy skin barrier overnight.

Do organic pillowcases really matter for health?

Yes! I recommend pillows as the first place to start when creating a healthier home, and it’s worth getting a healthy pillowcase to protect it.

Your pillow is the object you're in the closest contact with in your entire house, for one of the longest time periods. Beyond facial skincare benefits, it is also a major potential source of toxicant exposure in direct contact with your nose, mouth, airway, and gut. Reducing exposure here is one of the easiest, highest impact ways to support your wellbeing.

How should I choose between silk, cotton, and linen?

  • Choose silk if you have dry skin or frizzy hair, or want some of the anti-aging benefits that silk pillowcases might offer

  • Choose cotton or linen if you want breathable, natural fibers and don’t have particularly dry skin

Are satin pillowcases good for skin?

Yes, they can be good for reducing moisture loss (and frizzy hair.) I don’t recommend any here because most satin is made with polyester or rayon, and while those can be OK and affordable choices, especially if they have OEKO TEX certification, I recommend natural fibers for pillowcases.

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