Purchased officially on Rakuten in September 2025 and used until mid-November. I'm selling it because I can sleep without the Unsleep. The inner head cushion is unused. Everything in the photos is included. I threw away the instructions. The cover is only the bamboo cover. There are no stains because the child didn't spit up. There are some pills on the inside, see photo 4. Please understand that this is a used item.