Mine is hot. My body temperature is always very very warm. My husband says sleeping with me is like having an oven in bed. I have full body RSD/CRPS. I use to love summer now with RSD I count the days until it is cold again. During the summer my skin is bright red without going in th sun (which I avoid). In the winter I only need a light jacket or none at all my body is already warm. I use ice when my body hurts I have large ice packs I bought from my chiropractor.