Esmeralda Baby Donut Pillow Striped Pattern with Insert I mainly used it with a towel on top, so I think it's relatively clean, but there are signs of use such as fading, stains, discoloration, pilling, and unevenness/flattening of the cotton. The insert is unused. I will compress it for shipping. There may be oversights, so please consider purchasing if you understand that it is a used item. *Please refrain from purchasing if you are sensitive to items stored at home. ⚠︎Due to childcare, I have set a longer shipping time.