I've used organic cotton a few times- it was kind of a ( fad) some years ago. It holds up fine, the quilt I made ( for a child, lots of use/ laundering) 10 years ago has held up fine. The organic were popular, easy to find 10 years ago, I've not seen many lately so, don't know how the quality is now. And of course there is a range of quality like all fabrics- some much better than others.