The short answer
Buy the 5 STARS UNITED. Two products at a comparable price doing an identical job, and one of them tells you what its foam and its fabric are certified to. There is no reason to pick the silence.
Buy the ComfiLife if it is meaningfully cheaper on the day you look, or you need the extra third of an inch of height, and material certification is not the reason you came here. It is a perfectly functional pillow and it made this whole category mainstream.
What both of them do, and why it works
Lie on your side with your legs stacked and nothing between your knees. Your top leg drops forward and down. Your pelvis rotates with it, your lumbar spine twists to accommodate the rotation, and it holds that twist for as long as you stay in position — which for most side sleepers is most of the night.
A contoured wedge between the knees keeps the top leg roughly parallel with the bottom one. The pelvis stays square, the twist comes out of the lower back, and the knees stop pressing on each other. That is the whole mechanism, and it is the same arrangement the Cleveland Clinic recommends for side sleepers — a pillow between the legs to stop the upper leg pulling forward and twisting the torso.
It is not brand-specific and it does not require a premium product. That is worth saying plainly, because it means the money question here is small and the documentation question is the only one left.
Why the certification gap matters on this product specifically
A knee pillow is bare foam in a thin cover, held between your legs, touching skin for eight hours. There is no mattress cover, no fitted sheet and no duvet between you and it. Of every product we cover, this is among the most direct contact with skin per dollar spent.
CertiPUR-US tests the flexible polyurethane foam for restricted content, restricted flame retardants and low VOC emissions. OEKO-TEX STANDARD 100 tests the textile components against a list of over a thousand harmful substances, with the strictest limits applied to fabrics in direct skin contact. Together they cover the two things this product is made of.
We want to be fair about what the ComfiLife's silence means. It is an absence of information, not evidence of a problem. Plenty of good foam is uncertified, and certification costs money a maker competing on price may reasonably decline to spend. We are not claiming the pillow is unsafe, because we have no basis for that and would not make the claim. The point is narrower and harder to argue with: an unanswered question is worse information than an answered one, and here the answer is available at roughly the same price. Our certification decoder explains what each label audits.
The height difference, and who it matters to
Six inches against 6.3 inches sounds like nothing, and for most people it is. The spec matters because a knee pillow has one job: hold your top knee level with the bottom one. Not higher, not lower.
Your hip width sets the gap. Narrower hips need a shorter pillow; wider hips need a taller one. Both of these sit at the shorter end of the field, so if you are broad through the hips neither may be enough — a pillow that under-fills the gap only partly solves the rotation problem. The 9.5-inch alternative we cover is the answer there, and our knee pillow roundup lays the heights out side by side.
Neither of these has a strap, and that is fine
Both ship without one, and the 5 STARS UNITED listing calls it out explicitly. We would treat it as a feature rather than an omission.
A strap is meant to keep the pillow with you when you turn over. What it actually does is tighten a band around your leg overnight, which a lot of people find uncomfortable, and it means the pillow rotates with you instead of staying in position when you switch sides. The trade-off is that an unstrapped pillow can get nudged out of place if you move a lot — which is a real cost, just a smaller one.
If you sleep on your back, buy neither
Both of these are wedges designed to go between the knees, which is a side-sleeping shape. Back sleepers need the opposite: a low bolster under both knees so the lower back can settle flat into the mattress rather than bridging a gap above it.
The Cleveland Clinic makes the distinction explicitly — legs lying completely flat cause the lower back to arch too much, and a small pillow under the knees fixes it. A four-inch half-moon bolster is the right product for that position, and our sleeping position guide covers both arrangements.
What a knee pillow will not fix
Worth setting expectations, because this is a cheap product that gets asked to do a lot. A knee pillow addresses pelvic rotation. It does not address a mattress that lets your hips sink below your shoulders, and if that is your actual problem, holding your top leg level on a spine that is already bowed is a partial fix at best.
Check the bed first. Our guide to fixing a sagging mattress has the two-minute test, and the side-sleeper mattress page covers what the surface underneath needs to do.