Western futons are based on the Japanese original, with several major differences. They are often placed on a configurable wood or metal frame for dual use as a bed and a chair or couch. Typically, the frame folds in the middle allowing the futon to be used as a couch and flattens to be used as a bed. They are usually filled with foam as well as batting, often in several layers, and they are often much thicker and larger than Japanese futons, resembling a traditional mattress in size. Western-style futons are a cheap alternative to a bed or other furniture, and are often sold in sets that include the mattress and frame. Futons normally feature a removeable and replaceable cover, giving them more versatility.

In Japanese, a zabuton (za, sitting + futon) is a cushion for sitting on. Zabuton are often used for sitting on tatami floors.