On 10 March 2019, Jack Grealish was "punched from behind by a pitch invader"[2] during the derby match at St Andrew's.

[6] Villa won the first competitive game between the clubs, in the Second Round of the FA Cup at Wellington Road in 1887, by four goals to nil,[7] The last pre-league FA Cup campaign saw the first competitive "Second City derby" occur on Saturday, 5 November 1887.

[10] Villa won 2–0 at Coventry Road Muntz Street with goals by Jack Devey and Joe Bache.

The teams would not meet again in top flight competition until fifteen years later when Birmingham were again promoted to the first division for 1921–22.

In the 1925 league game at Villa Park, with the home side 3–0 ahead with eleven minutes to go, Blues scored three times in a dramatic final spell to draw the match.

[16] During the late 1970s to early 1980s both Villa and Blues met regularly in the First Division and both teams had some memorable successes in the fixture.

Blues scored a memorable 3–0 victory at St Andrew's in the first meeting following Villa's European Cup triumph in 1982.

The reverse fixture at St Andrew's was a 2–1 Villa victory with both goals coming from Garry Thompson.

Trouble also took place following the game on Witton Lane outside Villa Park, where missiles were hurled at police who were attempting to keep both sets of fans apart.

The following season Blues got back to winning ways, with 2–1 victory at Villa Park just before Christmas and 2–0 at home in March, Villa keeper Thomas Sørensen making mistakes in both matches, though it's debatable if his errors directly affected the respective results.

Villa continued their winning ways in the derby, when they won both of the meetings between the clubs in the 2009–10 Premier League season.

The first took place on 13 September 2009 at St Andrew's, and ended 1–0 to Aston Villa, with Agbonlahor scoring the winner in the 85th minute, once again there was trouble with 14 arrests.

In those games in October and December 2010 where Aston Villa played Birmingham City, at Villa Park (Premier League, 31 October) and St Andrew's (League Cup, 1 December, which was the first mid-week game between the two sides since 2003) violence between the two sets of supporters and hooligan firms occurred, with many fans being arrested.

In the first game, there were scenes of violence outside Villa Park and there were a small amount of arrests including a Birmingham City club chef.

[23] On 17 June 2011, Birmingham City manager Alex McLeish swapped Blues for Villa in a move that shocked the football world.

[26] This controversial move only increased tension and hostility between the players, supporters and owners of both clubs even more as Blues directors threatened legal action against Villa for allegedly "tapping up" McLeish, who resigned as Blues manager on 12 June 2011, while he was still under contract at Birmingham City.

[27] McLeish's appointment marked the first time in history that a manager had moved directly from Birmingham City to Aston Villa.

The teams next met on 25 November in one of the most exciting derby games in recent times, Villa ran out 4-2 winners after goals from Jonathan Kodjia, Jack Grealish, a Tammy Abraham penalty and Alan Hutton who ran half the length of the pitch to score, Pedersen and Lukas Jutkiewicz scored for Birmingham.

During the 2000-01 and 2001-02 seasons both teams competed in the second tier FA Women's Premier League North.

Birmingham were then promoted to the Women's Premier League National with Villa joining them for one season in 2003-04 before being relegated.

In the first ever WSL match between the two sides Birmingham beat Villa 1–0 at an empty Villa Park (due to restrictions related to the COVID-19 pandemic in the United Kingdom),[33] while the Birmingham's home match which was also played behind closed doors at Damson Park, Solihull was a 1–1 draw.

[35] Birmingham returned the favour and won 1–0 at Villa Park on 8 May 2022, the final day of the season, as they were relegated to the FA Women's Championship.

[37][39] The last Birmingham City league victory over Aston Villa was on 20 March 2005, when Blues won 2–0 at St Andrew's.

The second match of the season resulted in the first Blues win since 2005, as they beat Villa 2–1 in the 2010–11 League Cup Quarter Final on 1 December 2010.

Villa legend Harry Hampton transferred to Blues after the First World War and helped the club to the Second Division title.

The most recent permanent transfer from Aston Villa to Birmingham City was that of Ireland international Scott Hogan, who moved for an undisclosed fee in September 2020.

Doug Ellis was a director of Birmingham City in the late 1960s before becoming part of a consortium which took over at Aston Villa in 1968.