[1] Modern Native American Church ceremonies often use a water drum made from iron, brass or copper kettle.
[2] The distinctive sound of the drum characteristic of the Native American Church is created because: "The water inside is in constant motion and produces a special resonance.
The player's thumb, pressed against the drum head, holds the tone at a constant pitch which then drops a fifth or more when the pressure is relaxed between songs.
[citation needed] The Ojibwa, Odawa and Pottawatomii traditionally call the drums midegwakikoon,[6][7] with "Mide" referring to the Midewiwin medicine societies.
[12] Since approximately 2006, the American heavy metal band, Mushroomhead have used nontraditional water drums in their live show - mainly for visual purposes.