A decorative cushion includes a relatively rigid, e.g., foam, inner core and a relatively soft filled portion comprising fill material enclosed in a flexible cover. The filled portion is positioned adjacent a first end of the inner core and may have a compressibility level that is less a compressibility level of the inner core. The first end of the inner core may have a concave contour, and the filled portion may mount or seat in the contour. A first cushion cover is sized for fully receiving the inner core and the filled portion and configured to maintain the position of the filled portion relative to the inner core. A second, decorative cushion cover is sized for fully receiving the first cushion cover containing the inner core and the filled portion. An electric massage unit may be mounted to the inner core at a location spaced from the filled portion. The inner core provides support to the user, while the filled portion allows cushion to be decoratively arranged by the user.