Provided are pouches with rigid handles and/or internal supports and methods of making such pouches. In one aspect, a pouch with internal support includes a flexible pouch including a fitment coupled to a flexible pouch body and at least one inner support piece coupled to the fitment and extending into the inside of the pouch through the interior of the fitment. The fitment includes a fitment inner engagement feature and the at least one inner support piece includes an inner support engagement feature and at least one inner support extending from the inner support engagement feature. The fitment inner engagement feature and inner support engagement feature are interlocked to keep the at least one inner support piece from falling into or out of the flexible pouch body.