Take these tables for example.
Item
id
description
category
Category
id
description
An item can belong to many catego
Yes, you need a "join table". In a one-to-many relationship, objects on the "many" side can have an FK reference to objects on the "one" side, and this is sufficient to determine the entire relationship, since each of the "many" objects can only have a single "one" object.
In a many-to-many relationship, this is no longer sufficient because you can't stuff multiple FK references in a single field. (Well, you could, but then you would lose atomicity of data and all of the nice things that come with a relational database).
This is where a join table comes in - for every relationship between an Item
and a Category
, the relation is represented in the join table as a pair: Item.id
x Category.id
.