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Cotton Kills | Why wearing cotton under winter clothing can be dangerous

Posted on January 28, 2026January 28, 2026 by Dr. Don Aivalotis

The phrase “cotton kills” is common in outdoor, hiking, and cold-weather safety circles. It sounds extreme, but it is not meant to be dramatic or fear-based. Instead, it is a shorthand warning about how cotton behaves in specific environmental conditions.

Cotton is not inherently dangerous. In fact, it is one of the most comfortable and widely used fabrics in everyday life. The risk appears only when moisture, cold, and prolonged exposure combine.

This guide explains what “cotton kills” actually means, why the phrase exists, and when cotton clothing can become a real safety issue.

Why Cotton Can Be Dangerous in Cold or Wet Conditions

Cotton absorbs moisture easily. Sweat, rain, snow, or even damp air can saturate cotton fibers quickly. Once wet, cotton holds onto that moisture and dries very slowly.

When cotton is wet, it loses nearly all of its insulating ability. Instead of trapping warm air near the body, it allows heat to escape rapidly. This increases the risk of hypothermia, even in temperatures that may not seem dangerously cold.

Wind exposure makes the problem worse by accelerating heat loss through evaporation.

The Heat Loss Problem Explained Simply

Dry air is a good insulator. Water is not.

When cotton becomes wet, it replaces insulating air pockets with water. Water conducts heat away from the body far more efficiently than air, causing body temperature to drop faster than expected.

This is why people can become dangerously cold at temperatures well above freezing when wearing wet cotton clothing.

Situations Where “Cotton Kills” Truly Applies

The phrase is most relevant in environments where staying warm and dry is essential for safety, including:

Cold-weather hiking or backpacking
Snow sports and winter recreation
Hunting or fishing in cool, wet conditions
Emergency situations where shelter or spare clothing is limited
Long outdoor activities involving sweat followed by inactivity

The risk increases when someone sweats early, then stops moving while wearing wet cotton.

Why Wool and Synthetic Fabrics Perform Better

Outdoor clothing systems typically avoid cotton because other materials behave more safely when wet.

Wool retains much of its insulating ability even when damp. It also helps regulate temperature and resists odor during extended wear.

Synthetic fabrics are designed to wick moisture away from the skin, dry quickly, and maintain insulation. Even when damp, they do not cling tightly to the body or accelerate heat loss like cotton does.

This is why most outdoor experts recommend a layered system using wool or synthetic base layers rather than cotton.

When Cotton Is Completely Safe

Cotton is not a problem in many everyday situations.

It works well in warm, dry weather
It is comfortable for casual daily wear
It is fine for short outdoor activities with easy access to shelter

The phrase “cotton kills” is not a blanket rule. It is a situational warning meant for environments where exposure, moisture, and temperature control matter.

The Practical Takeaway

“Cotton kills” is not an attack on cotton. It is a reminder that fabric choice matters when conditions are harsh.

If staying warm and dry is essential for safety, cotton works against you. If conditions are warm, dry, and controlled, cotton is perfectly appropriate.

Understanding the context allows people to make smarter clothing choices without unnecessary fear or exaggeration.

Frequently Asked Questions

Does cotton actually cause hypothermia?

Cotton does not cause hypothermia by itself, but wet cotton can significantly increase heat loss, which raises hypothermia risk in cold or windy environments.

Is cotton dangerous in cool but not freezing temperatures?

Yes. Hypothermia can occur in temperatures well above freezing, especially when clothing is wet and wind exposure is present.

Why does cotton stay wet longer than other fabrics?

Cotton fibers absorb and hold water, while wool and synthetic fibers are designed to repel or move moisture away from the skin.

Is cotton okay for exercise?

Cotton can be fine for short workouts in controlled indoor environments. For long outdoor exercise, moisture-wicking fabrics are safer.

What should I wear instead of cotton outdoors?

Wool or synthetic base layers paired with insulating and weather-resistant outer layers are generally recommended for cold or wet conditions.

References

Centers for Disease Control and Prevention. (2023).
Hypothermia: Cold-related illness.
https://www.cdc.gov/disasters/winter/staysafe/hypothermia.html

National Park Service. (2022).
Hypothermia: Cold, wet, and windy conditions.
https://www.nps.gov/articles/hypothermia.htm

Mayo Clinic. (2024).
Hypothermia: Symptoms and causes.
https://www.mayoclinic.org/diseases-conditions/hypothermia/symptoms-causes

Wilderness Medical Society. (2019).
Practice guidelines for the prevention and treatment of accidental hypothermia.
Wilderness & Environmental Medicine, 30(4), S47–S69.

REI Co-op Expert Advice. (2023).
Why cotton kills.
https://www.rei.com/learn/expert-advice/why-cotton-kills.html

U.S. Army Public Health Center. (2021).
Cold weather injuries and prevention.
https://phc.amedd.army.mil

Dr. Don Aivalotis

Dr. Donald Aivalotis is a chiropractor with over 23 years of clinical experience and the founder of JustSimplyWell.com. His work focuses on simplifying complex health topics, including cardiovascular health, hormones, nutrition, inflammation, and insurance coverage, using evidence-informed and practical guidance. All content is educational in nature and not intended to replace medical care.

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