This pillow case is made using new materials, & fits a standard 16x24 or 20x 20 pillow (I usually buy down-filled inserts from Ikea for around $10) The antler detail on the front is handcut out of felt & machine sewn. The fabric is a soft red flannel plaid. I usually use a different fabric on the back - something to tie in the felt applique colour. If this is an issue, & you would like the same fabric on the back, please message me first to make sure it is available. I am very open to custom orders of any kind! Please message me with your thoughts before purchasing, (if you would like something different from what is shown) as many of the cases are one-of-a-kind. I use alot of recycled & found fabrics, so sometimes I won't be able to get more of it. Thanks for looking, have a great day! Red Plaid Antler Pillow Cover, Holiday Cabin Decor - 20x20