Depending on the bed and quilt design, you may also be able to turn what is considered the length to be the width. So, for example, when I had a bed with a footboard, I just turned the quilt sideways. Now, I don't have a footboard, but I also don't put tuck the pillows in - they sit on top of the quilt, which I pull up under them only enough for the other side (which is now at the foot of the bed) to hang properly.