Best Mattress For Back Pain (2026): Saatva, Bear, Helix

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Closeup of the front end of a Bear Elite Hybrid Mattress with blue trim and white top on a minimalist wooden bed frame

Sideview of Saatva TX a thick mattress with white top and beige trim

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If there was anyone who needed to find the best mattress for back pain, it’s me. Nearly a decade ago, I started waking up with back pain that could range from just an ache to hurting so much I could barely get out of bed. I found out I have two permanent conditions in my spine: scoliosis, a sideways curvature that developed in my mid-twenties (usually teens develop it, but that didn’t stop me in my twenties), and spondylosis in my lower spine, which is abnormal wear and tear on the cartilage. Both caused serious pain overnight, and I assumed it was just something I’d have to live with. But it turned out my flimsy, unsupportive mattress was a secondary culprit. It didn’t offer the support I needed, and left me in more pain than when I had gone to bed.

To cure this, I’ve tried everything: mattress pads, knee pillows, and mattresses that ranged from super-soft foam to ultra-firm planks. Some of these things worked, some didn’t. I, or another WIRED reviewer, slept on the mattresses below—including our top pick, the Saatva Classic—for at least seven nights each and monitored how they affected our back pain during the night and the ing morning. My husband also gave me his feedback, even though he isn’t plagued with chronic back problems.

After all these nights of sleeping on the job, I’ve found which mattresses left my back aches and pressure pains in the past. Below are our favorites to sleep on if you have back pain, plus advice for how to navigate back pain and sleep overall. While you’re here, don’t miss our related buying guides, including the Best Mattresses, Best Pillows, and Best Sheets, for an all-around best sleeping experience. All of the prices shown below are for queen-size models.

Updated March 2026: I’ve made the Saatva Classic my new top pick, added the Sonu as a pick for shoulder pain, and ensured up-to-date links and prices.

Table of Contents

Compare Our Top Five Mattresses for Back Pain
Honorable Mentions
Mattresses to Avoid
How Does a Mattress Help With Back Pain?
Can a Knee Pillow Help?
How Does WIRED Test Mattresses for Back Pain?

Best for Back Pain

Photograph: Nena Farrell
Photograph: Nena Farrell
Photograph: Nena Farrell

Saatva

Classic Mattress

~~$2,199~~ $1,874 (15% off)

Saatva

The Saatva Classic is my new favorite mattress for my back pain. It’s soft without being too soft—a combination I’ve found elusive—and after a week of testing, I didn’t see any flare-ups in my lower back pain. Pressure pain and muscle aches were also relieved with this mattress, which I didn’t always find with super-firm mattresses the Plank. It was a huge relief after the sciatica pain and some muscle issues I’ve had as a result.

The Saatva Classic achieves this with a pillow top that has lumbar support built into the center third of the mattress, and while you won’t feel a difference while lying down, the support pays off. There are also two coil types that make up the body and deliver great support underneath the soft and supportive cover, plus edge support. It’s an all-around great mattress and priced really well for what you get. I did the luxury firm setting, and it was plenty firm for my back support while still feeling plenty plush for my side sleeping.

Saatva also (for free!) delivers the mattress fully formed and will place it in your room for you, saving your aching back from dragging a mattress up the stairs and waiting for it to fill with air before you sleep on it. They’ll do free mattress removal too, and there’s a 365-night trial.

Prices range from $1,194 for a twin to $2,783 for a split king.


Composition	Three-inch pillow top with lumbar support, plus two different coil layers
Firmness	Three options, luxury firm is a 6/10
Height	11.5 or 14.5 inches
Cooling	No
Trial period	365 nights

WIRED/TIRED

WIRED

Highly responsive and supportive, thanks to two coil types
Three firmness options and two heights to pick from
Center of the bed has increased lumbar support via an extra layer and firm quilting

TIRED

Not as much pressure relief as a memory foam hybrid would offer

Best Firm Support

Photograph: Nena Farrell

Bear

Elite Hybrid (Firm)

~~$2,284~~ $1,599 (30% off)

Bear

The Bear Elite Hybrid is our top pick for a side-sleeper mattress, and while it’s one of the firmest options both I and WIRED reviewer Martin Cizmar have tried, we both agree that it’s one you’ll only love more the longer you sleep on it. It feels insanely firm after you unbox it; even though it’s rated at a lower firmness than the Plank Firm Natural I usually sleep on, I’d say the Bear Elite’s firmest setting actually feels firmer. It’s a much taller mattress at 14 inches, with five layers of zoned coils and two kinds of foam. Even with all of those coils, it’s much less springy than the Plank, and initially feels incredibly dense to sleep on. However, as a side sleeper, a few nights on the Plank leaves my shoulders feeling incredibly stiff, while the Bear Elite has left my shoulders feeling fine the next morning. That firm factor is great for spine support, with both the medium firmness and the firmest level. I tested the firmest with great results—my back has been pain-free every morning!—and Martin had similar positive results with his back pain testing Bear’s medium option. Both versions are incredibly firm when you unbox the mattress, but it’s one that will last you a long time and keep you ultra-supported.

There are also cooling features—this mattress has phase change material, or PCM, built into it to absorb body heat, and copper-infused memory foam that can wick that body heat away. With it being such a dense mattress, these are great features to make sure you aren’t overheating from your mattress while you sleep. I was testing it during California wintertime with flannel sheets, and was happy to find that the thicker mattress and flannel didn’t have me overheating, thanks to Bear’s cooling features. All in all, it’s a fantastic mattress for support and cooling, and even the firmest setting is one side sleepers can sleep on and wake up pain-free.

Prices range from $1,299 for a twin to $2,712 for a California king.

Composition Five-layer hybrid with zoned coils

Firmness Three options, firm is a 7.5/10

Height 14 inches

Cooling Yes

Trial period 120 nights

WIRED/TIRED

WIRED
- One of the firmest mattresses out there, which is great for spinal support
- Both medium and firm levels fixed back pain in our testing, and firmest level was fine for a side sleeper
- Phase change material cover does a great job with repelling heat
TIRED
- Is a very firm mattress, even if you pick less firm levels


Composition	Five-layer hybrid with zoned coils
Firmness	Three options, firm is a 7.5/10
Height	14 inches
Cooling	Yes
Trial period	120 nights

Best Soft Pressure Relief

Photograph: Nena Farrell
Courtesy of Saatva

Saatva

Rx

~~$3,449~~ $3,074 (11% off)

Saatva

My right side almost always hurts. My scoliosis puts more weight on that side, creating a painful pressure point overnight. Fun combo! But the Saatva Rx let me sleep on my right side and wake up without a single pain. There’s a lot going on that makes this possible. There are seven layers, including a half-inch memory foam layer placed for lumbar support, a high-density foam layer encasing a micro-coil layer, and a layer Saatva calls the “Therapeutic Support Core.” This consists of a foam module on top of individually pocketed coils and phase change material, which can help regulate temperature overnight. It feels nice and soft, but not so soft that I’m sinking into it.

It totally erases my pressure points and muscle pain overnight. I let my sister sleep on it after she strained a muscle in her upper back, and the next morning she said it felt seriously improved and noted how easy it was to spring up. It’s a little too soft to support my spine’s spondylosis damage, and I woke up with a twinge of discomfort in my lower back where that damage is, even with the extra lumbar support.

But if you have more pressure point pain or overused-muscle aches rather than spine damage, the Saatva Rx is a fantastic choice. Saatva also offers a 365-night trial and a lifetime warranty, and it delivers the mattress in a truck and fully formed—no shrink-wrapped mattress-in-a-box here. You’ll get a heads-up about the delivery and can ask for it to be placed in your room of choice.

Prices range from $1,774 for a twin to $4,598 for a split king.


Composition	Seven layers of foam and coils
Firmness	One option: supportive plush is about 5/10
Height	15 inches
Cooling	No, but has phase change material
Trial period	365-night trial

WIRED/TIRED

WIRED

Fantastic for pressure relief
Really soft, but still relieves pressure even as you sink into the bed
White-glove delivery is included

TIRED

Marketed toward sleepers dealing with back pain, but is too soft for serious spinal or pain issues
Doesn’t have the lumbar or firm support needed for folks who need spinal alignment

If You Have Shoulder Pain Instead of Back Pain

Photograph: Nena Farrell
Photograph: Nena Farrell
Photograph: Nena Farrell

Sonu

Sleep System

~~$2,999~~ $2,499 (17% off)

Sonu

The Sonu Sleep System is unany other mattress I’ve slept on. The mattress is designed specifically for side sleepers who need more room for their shoulders, so if your back pain is in your upper back from not having enough shoulder space, this is a great solution.

The Sonu solves it by adding what it calls “The Comfort Channel,” which is a cavity for your arm underneath where your pillow will lie. There are four square support pillows that fill the cavity (two stacked on either side of the bed), so your arm has places to rest and your head is still fully supported, but I was the most comfortable with a third regular pillow on top. My arm and shoulders felt great, but it was a little too soft with the full-foam design for my lower back problems. But if you’re specifically struggling with upper back or shoulder pain, this could be a good solution.

The shoulder cavity is one long section for both sides of the bed, which works well, but it’ll put you a little closer to your partner, where you’re able to reach and grab their support pillows accidentally (or their entire arm, I did). wise, the channel is tricky for taller folks. It limits where you can sleep, and my 5-foot-10 husband found his feet right at the edge of the queen-sized bed. If you’re on the taller side, you might need to plan to get a king or California king, depending on your height. You’ll also want Sonu’s custom sheets ($189, queen) that are designed to fit the shoulder cavity, though a regular sheet set will work if you only want to reach under one of the two support pillows. The mattress has both foam and hybrid options, and there’s a 100-night trial to see if it’s a fit for you.

Prices range from $1,499 for a twin XL and $3,099 for a California king.


Composition	Three layers of foam; hybrid has two foam and one coil layer
Firmness	Three firmness levels, plush is 4/10
Height	13.5 inches
Cooling	Cooling cover
Trial period	100-night trial

WIRED/TIRED

WIRED

Unique design that’s great for side sleepers who want more space for their shoulders
Can layer any pillows you on top of the cut-outs
Super soft feel

TIRED

Can use with existing sheets, but best to buy Sonu’s sheets so you can reach into the full shoulder cavity
No separation between each side of the bed in the shoulder cavity, so you might grab your partner’s pillows or arms accidentally

Another Great Side Sleeper Option

Photograph: Nena Farrell

Helix Sleep

Twilight Luxe With ErgoAlign

~~$2,648~~ $1,986 (25% off)

Helix

The Helix Twilight Luxe is similar in design to our favorite mattress ever, the Midnight Luxe. Both were actually made for side sleepers, but the Twilight Luxe has a firmer feel than the Midnight Luxe. That said, the mattress is not so firm that we side sleepers can’t enjoy sleeping on it. I found myself sleeping comfortably on my side during my days of testing. It has six layers total, with one layer of coils, three layers of foam, plus base support and a pillow-top. You can choose between two pillow-top options, a breathable Tencel or a cooling material. I tested the Tencel option and found it to be plenty cool enough as I slept through the last few summer heat waves.

What really makes Helix’s mattresses a good choice for us side sleepers plagued with back pain is the ErgoAlign layer you can add to any of them. It costs an extra $200, but it changes the top of the mattress to use dense body-contouring foam to add additional relief. It’s designed to help relieve lower back pain, which is where my spondylosis pain comes from, and I found that my back did feel great in the morning and didn’t have any twinges or hints of pain. The pressure relief was good, too, keeping my side-sleeper pressure points pain-free. My husband has zero back pain, and he also loved sleeping on this mattress. It is on the tall side, but not so tall that I couldn’t use any of my favorite sheets on it.

It’s a great option for going all in on a ton of support, and you can also shop around Helix’s other models if you feel you want an even firmer (or less firm!) mattress than the Twilight Luxe. But in my testing, the Twilight Luxe with the added ErgoAlign layer was a fantastic firmness to keep me supported, aligned, and pain-free.

Prices range from $1,436 for a twin to $2,924 for a California king.

Composition Six layers of foam and coils

Firmness 8/10

Height 13.5 inches

Cooling No (unless you choose cooling pillow top, +$199)

Trial period 100-night trial

WIRED/TIRED

WIRED
- Very supportive and firm mattress
- Not so firm that side sleepers won’t love it (confirmed by side sleeper)
- ErgoAlign layer adds supportive foam to lower back area
TIRED
- ErgoAlign layer is an extra cost, but worth it for lower back pain
Another Fantastic All-Arounder

Photograph: Nena Farrell

Charles P. Rogers

Estate Tradition Mattress

~~$3,898~~ $1,949 (50% off)

Charles P. Rogers

The Tradition Estate is the newest mattress in Charles P. Rogers’ lineup and an upgrade to the existing Estate mattress. This 13-inch mattress has seven layers of gel, foam, and springs, with an Oeko-Tex-certified quilted top and foam edge support. The spring layer is called Powercore, with each coil moving individually for targeted support. You can feel the firm support of the Powercore and other layers within it, but the top still has enough softness and give that I’m plenty comfortable sleeping on it with my side sleeper ways. It only has one firmness level, which Charles P. Rogers describes as “gentle firm,” and I’d agree with that. I’d guesstimate it’s a 7.5/10 in firmness, but with the soft top and very firm interior layers, it’s hard to assign a number to it.

My achy back feels nicely supported throughout the night with the firm base, and I woke up usually without an ache to be found in my lower back. It took a couple nights to break in the top softer cushion—the first night or two it felt a little too firm on my side and back—but after that, the top layers felt soft and forgiving on my side sleeper position while the lower layers supported my spine. I woke up without any pressure pain, thanks to that softer top.

My husband d this mattress a lot too, even though he’s a back sleeper who prefers a firmer mattress. It was a great middle ground for our different needs, and it did a fantastic job supporting my back and erasing my pressure pain. I’d recommend it for just about anyone to sleep on. If it doesn’t end up working for you, Charles P. Rogers allows returns and exchanges within 100 days of delivery. The Tradition Estate also has a 5/15-year warranty, with five years of complete coverage against manufacturing issues and another 10 years of prorated coverage. It comes shrink-wrapped and rolled up, making it easy to get into your house, and then you can throw away the layers of material instead of a big ol’ box.

Prices range from $1,299 for a twin to $2,199 for a California king.

Composition Seven layers of latex, gel, and coils

Firmness One option: gentle firm is around a 7.5/10

Height 13 inches

Cooling No

Trial period 100 days of delivery

WIRED/TIRED

WIRED
- Offers good weight distribution to keep spine in alignment
- Has a firm feel, but still soft enough for side sleepers to enjoy
- Based on our testing, suitable for all types of sleepers dealing with back pain
TIRED
- Takes a few nights to really break in


Composition	Six layers of foam and coils
Firmness	8/10
Height	13.5 inches
Cooling	No (unless you choose cooling pillow top, +$199)
Trial period	100-night trial


Composition	Seven layers of latex, gel, and coils
Firmness	One option: gentle firm is around a 7.5/10
Height	13 inches
Cooling	No
Trial period	100 days of delivery

Compare Our Top Six Favorite Mattresses for Back Pain

Model	Composition	Firmness	Height	Cooling?	Trial Period
Saatva Classic	Three-inch pillow top with lumbar support, plus two different coil layers	Three options, luxury firm is a 6/10	11.5 or 14.5 inches	No	365 nights
Bear Elite Hybrid	Five-layer hybrid with zoned coils	Three options, firm is a 7.5/10	14 inches	Yes	120 nights
Helix Sleep Twilight Luxe with ErgoAlign	Six layers of foam and coils	One option, 8/10	13.5 inches	No (unless you choose cooling pillow top)	100 nights
Sonu Sleep System	Three layers of foam; hybrid has two foam and one coil layer	Three firmness levels, plush is 4/10	13.5 inches	Cooling cover	100-night trial
Saatva Rx	Seven layers of foam and coils	One option, supportive plush is about 5/10	15 inches	No, but has phase change material	365 nights
Charles P. Rogers Estate Tradition Mattress	Seven layers of latex, gel, and coils	One option: gentle firm is around a 7.5/10	13 inches	No	100 days of delivery

Honorable Mentions

Brooklyn Bedding Aurora Luxe Cooling Mattress for $1,699: If you’re looking for something akin to the Plank Natural that’s firm without being too firm, this is another good pick. It has cooling features, too, which is a nice bonus.

DreamCloud Premiere Hybrid for $1,099: This soft mattress was still supportive. I d sleeping on it, but it didn’t erase my back pain as much as other mattresses we recommend. Still, it was a nice option if you want support without too much firmness as a side sleeper.

Essentia Tatami Organic Mattress for $3,435: This mattress is made of a really comfortable organic latex support core that has holes for breathability (and to help with cooling), and the active organic foam center helps spinal alignment and contouring support for pressure points. It doesn’t have coils or springs, but it’s still surprisingly supportive.

Leesa Sapira Chill for $1,969: If you’re grappling with whether you want a cooling mattress or a pain-relieving mattress, Leesa’s Sapira Chill is a well-priced option that can do it all. The Sapira Chill is our runner-up in the Best Mattresses guide, thanks to its problem-solving capabilities.

Saatva Memory Foam Hybrid for $1,699: The Saatva Memory Foam Hybrid is marketed as firm, and is designed to support your lower back with cushioning in the center. WIRED contributor Nicole Kinning was a little too short at 5’2″ for the lumbar support, but it could be a good fit for more average-sized folks. There are also cooling properties, but they didn’t stand out compared to other cooling mattresses.

Saatva Solaire for $4,199: If you and your partner want different firmness levels, the Saatva Solaire has a fascinating solution: letting you adjust the firmness with inflatable air chambers and a remote for either side of the bed. There are 50 firmness levels, and WIRED reviewer Divya Viswanathan says her husband prefers a lower setting, around 25, to help with his lower back pain and to relieve pressure, while she prefers a firmer feel, around 35 out of 50.

Nectar Premier for $949: WIRED reviewer Martin Cizmar is a side sleeper who suffers from sciatica back pain from time to time, and he says that this hybrid mattress is a great choice for anyone who wants a softer mattress to sink into while getting plenty of pressure relief and excellent contouring while you sleep.

Plank Firm for $999: WIRED reviewer Adrienne So says it takes a few days to reach its full firmness levels—she thought it was too soft after she initially unboxed it, but it became much firmer after a little more time. She describes the Plank Firm as sleeping on a clean wooden floor (which she loves). It’s entirely foam, and flippable with two different firmness levels on each side.

Plank Firm Luxe for $1,199: I really d the firm support this mattress offered, and it has a better support system with a center layer of individually encased coils instead of just the firm foam the basic Plank has. It’s flippable, but the softer side is still very firm, and the firmest side is the hardest surface I’ve ever slept on. I did prefer the more nuanced support of the firm Bear Elite and a firmer Helix, and both of those models were more comfortable for both myself as a side sleeper and my back sleeper husband.

Purple Restore Cool Touch for $2,699: WIRED contributor Nicole Kinning says this is the absolute best cooling mattress by a long shot. It’s also got a gridgel layer, called GelFlex, that adds extra support and makes it easy to get out of bed in the morning.

WinkBeds The WinkBed for $1,799: WIRED reviewer Julian Chokkattu recommends this mattress for his fellow stomach and back sleepers. There are three levels of firmness. He tried the Luxury Firm and d that the plush pillow-top also adds a luxe, hotel-feel to a relatively firm bed.

Wolf 12-Inch Memory Foam Hybrid Medium Firm Mattress for $899: WIRED reviewer Molly Higgins found herself surprisingly impressed with this affordable mattress. She says the medium-firm memory foam hybrid mattress feels much more luxe than its price point suggests, and that individually wrapped coils give great support and help with overall structure, while the top gel foams conform to your body’s curves and aid in pressure relief.

Mattresses to Avoid

While the horrible futon mattress that started my hunt doesn’t exist anymore—hallelujah for that!—there are plenty of other mattresses that have flared up my or other WIRED reviewers’ back pain.

Tempur-Pedic Tempur-Adapt for $2,199: This mattress was super soft and conforming, but it wasn’t supportive whatsoever and had more of a sinking sensation when you laid on it. My right side’s muscle pain was worse after nights on this mattress, and my damaged spine felt distinctly unhappy. My sister also tried sleeping on it, and she described it as “sleeping on an air mattress that is losing air throughout the night.”

Magniflex Magnistretch 12 for $3,699: This Italian-made mattress advertises itself as stretching the spine. It’s endorsed by retired Italian soccer player Giorgio Chiellini and current pro basketballer Stefano Tonut, who plays for the Italian equivalent of the Boston Celtics. Well, the Magniflex definitely does something to the spine, though WIRED reviewer Martin Cizmar found it very unwelcome. He lasted only two nights on the Magnistretch before crying uncle and limping over to the next test mattress. He describes the morning-after sensation as similar to sleeping on a hammock made of chainlink fence.

FAQs

How Does a Mattress Help With Back Pain?

What makes a mattress ideal for solving back pain? A common rule of thumb is to aim for a medium-firm mattress. “A mattress that is medium-firm may be better for people with back pain instead of one that’s soft or firm,” but these are based on low-quality studies, says Sean Mackey. Harvard Health also recommends avoiding both very soft and very hard mattresses if you have back pain.

You’re looking for something that can provide spinal support if your pain originates in your spine, or pressure relief if your pain comes from pressure points you’re sleeping on. Mattress firmness plays a big role, but so does the overall design of the coils, foam layers, and any additional support measures added.

During my testing, I was impressed to find that a firmer mattress really did lead to big improvements in my back pain. I expected a harder surface to cause flare-ups of pain or to even throw my back out of place, which has happened on cheap, hard mattresses before. However, I slept well and woke up without any aches or soreness. While a softer sleep surface was my go-to since I’m a side sleeper, choosing a firmer style of mattress immediately supported my spine better and kept pain away, rather than flaring it up I assumed.

Mackey also recommends checking in with your own doctor or an occupational therapist. “With chronic conditions, we don’t have a ‘This is the best thing for you,’” he says. He also recommends trialing out a few things while you sleep, whether that’s different pillows or mattresses of different firmnesses. You might also try physical therapy or stretching before bed: Mattress maker Charles P. Rogers has an entire area of its site dedicated to sleeping pain-free. It’s not just about what you’re sleeping on, but how well you’re taking care of yourself before you go to bed too.

I will probably always live with my spine conditions, and there are things that help, stretching before bed and staying super active during the day. But sleeping on a better mattress is a good first step to staying active and pain-free—at least for the morning.

Can a Knee Pillow Help?

If you’re hesitant about investing in a new mattress, there’s an easy place to start: a knee pillow. It was one of the first recommendations that Sean Mackey, doctor of neurology, chief of the Division of Stanford Pain Medicine, and past president of the American Academy of Pain Medicine (AAPM), gave me when I asked him about how to reduce pain while you sleep. He explained that one of the sources of pain can be a lack of rachis alignment, or the alignment of your spine. “Generally, you should either be sleeping on your back or putting a pillow or support underneath your knees for spinal alignment,” says Mackey.

As a side sleeper, I went out and tried a few knee pillows designed for side sleepers with my original, crappy foam mattress I’ve been sleeping on for the past five years. Mackey wasn’t kidding—it did help. I was more comfortable and fell asleep faster. I d both the Pillow Cube Knee Cube (which is discontinued) and the Everlasting Comfort Knee Pillow ($34) for different reasons. The Everlasting has a strap to keep it in place, but it’s nice and small if you don’t want something as bulky as the Pillow Cube in your bed. I did find that the smaller Everlasting was more ly to end up on the floor, though, versus the Pillow Cube’s being easier to relocate and tuck back into my knees in the middle of the night. Both helped with my spinal alignment and reduced my back pain a bit, but I still found switching to a more supportive mattress to be a bigger improvement.

How Does WIRED Test Mattresses for Back Pain?

For mattress testing in general, we sleep on all mattresses for at least a week, if not longer (many of my picks I slept on for closer to a month) depending on how they perform. I previously tested all of my mattresses on an old Article bed frame, and now am testing mattresses on an IKEA Tonstad bed frame. For back pain, I pay attention to my back pain spots the night before and see if they’re better or worse in the morning after a night on this mattress. I also look for pressure relief as a side sleeper (and another pain source) and I ask my back-sleeper husband about his experience and if it created any issues or pain for him that I wouldn’t discover as a side sleeper.

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Nena Farrell is a writer and reviewer at WIRED. She primarily covers home and sleep products, smart home tech, gift guides, and parenting gear. She’s been a reviewer at WIRED since 2023, and before that was a smart home updates writer at The New York Times’ Wirecutter and an associate … Read More

Writer and Reviewer

TopicsShopping mattresses Sleep home buying guides

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