Andre Ayew opened the scoring for the Hammers, prodding past Jordan Pickford after a scuffed Andy Carroll volley fell to him in the penalty area.
Sunderland finally broke their scoring duck, with Wahbi Khazri's corner flying straight in for the Black Cats' first goal in more than 11-and-a-half hours.
James Collins headed in from a Robert Snodgrass corner to put the visitors in front, before Borini levelled from the edge of the box.
Sam Byram was then sent off for West Ham for a second booking in added time, but Sunderland were unable to find a winner.
It makes it eight games without a victory for David Moyes' side, who remain rooted to the bottom of the table.
Can Sunderland do the unthinkable?
Sunderland showed plenty of passion and desire in front of their home fans, but the hosts desperately needed three points at the Stadium of Light.
They remain nine points from safety, albeit with a game in hand on 17th-placed Hull, who are one of three sides they face during the run-in that are also scrapping for survival.
Moyes knows his side must take points off the Tigers, as well as relegation-threatened Middlesbrough and Swansea, with trips to Champions League-chasing Arsenal and leaders Chelsea to follow.
But the former Everton and Manchester United boss will have taken some positives from his side's attacking performance against West Ham, having previously gone seven games without finding the net.
Khazri was instrumental and after his goal straight from a corner, which needed an element of luck, the winger set up Didier Ndong only for the midfielder to blaze over.
Substitute Borini showed he can help ease the burden on top-scorer Jermain Defoe for goals, meaning the Black Cats are not quite resigned to the Championship just yet.
More to follow.
SunderlandWest Ham
- Possession
- 47%
- 53%
- Shots
- 14
- 7
- Shots on Target
- 4
- 3
- Corners
- 8
- 1
- Fouls
- 14
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