We describe a refrigeration pill for an adiabatic solid-state magnetocaloric or electrocaloric refrigerator, the pill having longitudinal and transverse axes, said pill comprising: a housing divided along said longitudinal axis into first and second housing parts; wherein each of said housing parts comprises a thermally conducting metal skeleton within the respective said housing part; and wherein regions within said housing between elements of said skeleton comprise magnetocaloric or electrocaloric material. We also describe methods of manufacturing the pill, and various solid state refrigeration systems, and related apparatus.