While twin XL is preferable, twin comforters and duvets (86" and up) can work on an 80 inch extra long twin mattress but it will be short.

 

HOWEVER, your mattress topper, fitted sheet, mattress pad, and bed skirt must be manufactured to properly fit a twin extra long mattress.

 

Here's how to make a twin XL bed with a standard twin comforter... pull the comforter toward the bottom of the bed to accommodate for the 5 inch difference then turn down the top so the comforter does not appear short when the bed is made.


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