Brane tilings are bipartite periodic graphs on the 2-torus and realize a large family of 4d N=1 supersymmetric gauge theories corresponding to toric Calabi-Yau 3-folds. We present a complete classification of dimer integrable systems corresponding to the 30 brane tilings whose toric Calabi-Yau 3-folds are given by the 16 reflexive polygons in 2 dimensions. For each dimer integrable system associated to a reflexive polygon, we present the Casimirs, the single Hamiltonian built from 1-loops, the spectral curve, and the Poisson commutation relations. We also identify all birational equivalences between dimer integrable systems in this classification by presenting the birational transformations that match the Casimirs and the Hamiltonians as well as the spectral curves and Poisson structures between equivalent dimer integrable systems. In total, we identify 16 pairs of birationally equivalent dimer integrable systems which combined with Seiberg duality between the corresponding brane tilings form 5 distinct equivalence classes. Echoing phenomena observed for brane brick models realizing a family of 2d (0,2) supersymmetric gauge theories corresponding to toric Calabi-Yau 4-folds, we illustrate that deformations of brane tilings, including mass deformations, correspond to the birational transformations we discover in this work, and leave invariant the number of generators of the mesonic moduli space as well as the corresponding U(1)R-refined Hilbert series.