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An extra firm mattress typically does not have an abundance of comfort foams or extra padding in the top layer of the mattress. They are usually the hardest option of a bedding line and they will have the least amount of give, meaning you are less likely to sink into an extra firm mattress versus a softer choice. An extra firm mattress usually has a thicker gage coil unit to make it more firm than other plush mattresses. The thicker coil also makes an extra firm mattress less susceptible to having body impression issues.