Does it come with a pillow case? If not what kind of pillow case fits the pillow?

No, it is only a body pillow insert. You can buy a 20x54 Inch new pillow cover on AMAZON

Do you think it will fit a pillow case 20x40?

The 20x40 is going to be a little short. This pillow is a true size of 20x52

What size pillowcase fits this pillow?

No clue, I just buy the generic pillow cases from target and they fit.

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Description

🌙 Sleep smarter, wake energized — your all-night comfort upgrade!

EASY CARE - Machine washable with simple low-heat drying instructions
RISK FREE REST - Money-back guarantee ensures satisfaction or refund
ERGONOMIC SUPPORT - Medium-firm fill relieves pressure for side sleepers
ALL IN ONE COMFORT - Replaces multiple bulky pillows for streamlined sleep
BREATHABLE DURABLE - 100% polyester cover resists piling and stays fresh

DOWNCOOL Body Pillows offer a large 20x54 inch insert with a breathable, durable 100% polyester cover that resists piling. Designed for side sleepers, it provides medium-firm support to relieve pressure and maintain shape throughout the night. Easy to care for with machine washability and backed by a money-back guarantee, this pillow is the perfect upgrade for professionals seeking restful, refreshing sleep.