The first photo shows everything included. This is a support cushion for when turning over in bed. Armrest: Prevents the arm from getting stuck between the body and the mattress when turning over. Leg rest: The plate-shaped cushion reduces pressure on the heels by supporting the weight of the legs on the underside of the calves. The bar-shaped cushion maintains the proper distance between the legs when turning over, and distributes pressure on the inner knees and inner ankles. Pillow: Maintains a comfortable posture with the pillow height in the center and on both sides when turning over. Only the pillow cover has a sheet attached. Overall, it's clean, but there are some small stains.