A pressure reducing foam heel boot that enhances comfort with a soft cozy cloth cover that reduces pressure ulcer exposure with a cooling gel pad that is placed over a soft foam base. It is covered with a soft, low-friction micro-fiber Cloth fabric that wisks away moisture to eliminate skin-damaging perspiration. The extra-wide Velcro strap secures the heel cushion to the foot while minimizing any rubbing against the skin. The gel packs can be warmed or cooled for thermal benefit. Launderable with gel insert removed.