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Have you considered a seat fit?
You could then take the measurements to a custom seat builder and get something bespoke.
Joking aside, it seems odd that a car brand renowned for comfort has made a driving position so uncomfortable for you in every way. Maybe it's time for a FFRR.
Did you do the pedal swap in the end?
My E63 really is killing my back, my thinking on this has evolved a little and I think it may be because the seat base is very flat - whereas in the 911 the bucket holds you very tightly with legs pressed together, which my back seems to prefer.
I will try to get a long test drive from Mercedes for the S213 model to see if that's any different, but I think I'm going to get rid of it as I can't deal with back ache after an hour in the car.