- 365-night sleep trial, 20-year warranty, and free bedding bundle with purchase
- Comfortable cooling gel foam top layer, with convenient machine-washable cover
- Earns a high score for motion isolation
At Mattress-Reviews.com, we score every mattress using third-party engineering data. Our rankings include things like edge support, pricing, sleep trials, warranties, return policies, and customer service. If you’re looking for a mattress which balances support and comfort, keep reading to see our top-rated medium-firm mattresses.
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
Top-Rated Canadian Foam Mattress
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
Our Top Pick For a Good Night’s Sleep
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
2025's Best Canadian Hybrid Mattress
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
Canada’s Best Affordable Mattress
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
Canadian Hybrid with Limited Reviews
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
All-Foam Mattress with Lots of Bounce
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
Flippable All-Foam Mattress with Copper-Infused Foam
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Costco-Exclusive Mattress with Basic Features
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Hybrid Mattress Made in the US
The manufacturing origin listed here is based on the law label of the specific mattress we tested. Learn more >
Hybrid Mattress from Sleep Country-Owned Brand
Douglas Original is our top pick for the best medium-firm mattress in Canada. It scored a balanced medium-firm rating when tested by third-party engineers we commissioned—a firmness level that tends to suit most sleep positions and body types. Douglas also ranks highly with a 9.9/10 overall score thanks to its generous sleep trial and warranty lengths, multiple cooling features, and high ratings from customers on third-party review sites.
Medium-firm is the most popular mattress firmness for a reason. A medium-firm mattress offers a balance of comfort and support that works well whether you sleep on your back, side, or stomach. Douglas Original also stands out in other key areas like cooling, motion isolation, and edge support.
Douglas prices start at just $599, and also include a 365-night sleep trial, a 20-year warranty, and a free bedding bundle with mattress purchase.
Finding the right affordable mattress takes more than just testing it out. Keep these key factors in mind to get the best value without compromising on comfort or quality:
Mattresses come in a variety of types, each offering different benefits depending on your sleep preferences and budget. Here’s a quick look at some of the most common and affordable mattress options:
A medium-firm mattress is designed to give you a balance between comfort and support. It usually has a softer top layer that offers some pressure relief and body contouring, paired with a firmer support layer underneath—often made from high-density foam or coils. This type of mattress is a popular choice because it works well for most sleep styles and body types. It’s firm enough to keep your spine aligned but still has a bit of softness to keep things comfortable.
On our firmness scale, a medium-firm mattress falls within the range of 5.5–6.9 out of 10, where 1 would be considered an extremely soft mattress, and 10 would be considered extremely firm. These firmness ratings are determined by third-party engineer testing that we commission.
Most mattresses fall into one of five firmness categories:
Short answer: almost everyone.
Medium-firm mattresses are popular for a reason. They strike the right balance between comfort and support, which makes them a great pick when considering factors like:
We think the Octave Vista is your best bet, and it's also our top pick for the best mattress for back pain. It’s medium-firm, which works well for back pain, and it’s built with a five-zone support system that gives extra reinforcement where you need it most—like your lower back. According to Octave, 86% of customers with back pain said this mattress helped ease their discomfort.
At $999 for a queen, it’s a solid choice, especially since it includes a 365-night sleep trial, a 15-year warranty, and a free bedding bundle.
These third-party engineers apply a consistent testing process to every mattress using a detailed framework. Every mattress is tested the same way, whether it’s foam or hybrid. Because these types perform differently, we rate them on separate scales to ensure the scores are fair and meaningful.
We believe independent testing is essential to producing reliable and meaningful comparisons. That's why all test results are reviewed and signed off by an APEGA-certified engineer, operating under a strict code of ethics.
We use the testing results and over 40 criteria to build our scoring methodology.
Tests and reviews without this level of professional oversight may be more prone to errors and unintended bias.
Top Pick 2025
9.9/10
A top pick for Canadian sleepers, the Douglas Original uses cooling gel foam and support foam to offer balanced comfort. It comes with a free bedding bundle, a 365-night sleep trial, and a 20-year warranty.
The product details in each review reflect how the mattress performed at the time we purchased and tested it, as shown by the “Published” date.
Since brands can update their materials, pricing, or availability over time, we also note when the product was originally purchased, either directly in the article or on our disclaimer page, to maintain clarity and transparency.
If you see an “Updated” tag on a page with a more recent date than the published date, it simply means we’ve made editorial changes. It does not necessarily indicate any update to the mattress or its test data.
Finally, unless otherwise stated, any mention of where a mattress is made refers specifically to the product we received and tested.
More details >
Top Pick 2025
Top-Rated Canadian Foam Mattress
BONUS OFFERS WITH PURCHASE! Buy any Douglas mattress today and get a FREE Comfort Sleep Bundle + Duvet, 50% OFF Bedding and 20% OFF Bed Frames. See website for details >
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