The most highly rated sex dolls are those that seamlessly combine realism with comfort. These dolls feature high-grade silicone or TPE skin that offers a soft, warm, and lifelike feel. Detailed facial features, including expressive eyes and natural-looking hair, enhance the sense of authenticity. Anatomical accuracy, such as realistic genitals and proportionate bodies, contributes to a more satisfying experience. Comfort is also a priority; adjustable joints and flexible skeletons allow for natural positioning, making use more comfortable and enjoyable. Some dolls include internal supportive structures to hold poses securely, adding to stability and ease of use. Advanced models may incorporate heating elements and vibration features to simulate real intimacy, further elevating comfort and pleasure. Properly designed internal skeletons and textured skin provide a realistic experience without sacrificing durability. User reviews often highlight how these dolls feel, their ease of maintenance, and their lifelike appearance. When selecting a doll, consider your preferences for size, features, and materials—these factors collectively contribute to a more realistic and comfortable experience, making these models top-rated among enthusiasts.