The comfy mattress is a quest item used in One Small Favour. It is made by taking the stodgy mattress from a man in Port Khazard and adding the feathers given by Rantz the Ogre. The player should then return the mattress to the man in Port Khazard in exchange for some iron oxide. This must then be taken to Wizard Cromperty in Ardougne in order to proceed in the quest.
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