Taking damage summons a bird familiar that chases enemies for the remainder of the current room, dealing 2 damage per tick (~4.3 damage per second).
As long as Isaac's HP is at one half heart ( no matter the type of heart), Dead Bird will remain active between rooms. Upon entering a new floor, Dead Bird will be inactive, and a hit must be taken to activate it again.
This item is a reference to an old series of comics Edmund McMillen drew called Thicker Than Water, where the Dead Bird is said to represent his inner doubts and self-destructive nature.
Bug
Bug!
When using Extension Cord with Dead Bird, if Isaac and the bird are both moving sometimes the electricity does not always fully connect.