diff --git a/sqlite_utils/db.py b/sqlite_utils/db.py
index bbc6177..9f50a53 100644
--- a/sqlite_utils/db.py
+++ b/sqlite_utils/db.py
@@ -1048,6 +1048,26 @@ class Table:
             self.create_index(column_values.keys(), unique=True)
             return pk
 
+    def m2m(self, other_table, record_or_list, pk=None):
+        our_id = self.last_pk
+        records = (
+            [record_or_list]
+            if not isinstance(record_or_list, (list, tuple))
+            else record_or_list
+        )
+        tables = list(sorted([self.name, other_table]))
+        columns = ["{}_id".format(t) for t in tables]
+        m2m_table = self.db.table(
+            "{}_{}".format(*tables), pk=columns, foreign_keys=columns
+        )
+        # Ensure each record exists in other table
+        for record in records:
+            id = self.db[other_table].upsert(record, pk=pk).last_pk
+            m2m_table.upsert(
+                {"{}_id".format(other_table): id, "{}_id".format(self.name): our_id}
+            )
+        return self
+
 
 def chunks(sequence, size):
     iterator = iter(sequence)
diff --git a/tests/test_m2m.py b/tests/test_m2m.py
new file mode 100644
index 0000000..e7d6e30
--- /dev/null
+++ b/tests/test_m2m.py
@@ -0,0 +1,43 @@
+from sqlite_utils.db import ForeignKey
+import pytest
+
+
+def test_insert_m2m_single(fresh_db):
+    dogs = fresh_db["dogs"]
+    dogs.insert({"id": 1, "name": "Cleo"}, pk="id").m2m(
+        "humans", {"id": 1, "name": "Natalie D"}, pk="id"
+    )
+    assert {"dogs_humans", "humans", "dogs"} == set(fresh_db.table_names())
+    humans = fresh_db["humans"]
+    dogs_humans = fresh_db["dogs_humans"]
+    assert [{"id": 1, "name": "Natalie D"}] == list(humans.rows)
+    assert [{"humans_id": 1, "dogs_id": 1}] == list(dogs_humans.rows)
+
+
+def test_insert_m2m_list(fresh_db):
+    dogs = fresh_db["dogs"]
+    dogs.insert({"id": 1, "name": "Cleo"}, pk="id").m2m(
+        "humans",
+        [{"id": 1, "name": "Natalie D"}, {"id": 2, "name": "Simon W"}],
+        pk="id",
+    )
+    assert {"dogs", "humans", "dogs_humans"} == set(fresh_db.table_names())
+    humans = fresh_db["humans"]
+    dogs_humans = fresh_db["dogs_humans"]
+    assert [{"humans_id": 1, "dogs_id": 1}, {"humans_id": 2, "dogs_id": 1}] == list(
+        dogs_humans.rows
+    )
+    assert [{"id": 1, "name": "Natalie D"}, {"id": 2, "name": "Simon W"}] == list(
+        humans.rows
+    )
+    assert [
+        ForeignKey(
+            table="dogs_humans", column="dogs_id", other_table="dogs", other_column="id"
+        ),
+        ForeignKey(
+            table="dogs_humans",
+            column="humans_id",
+            other_table="humans",
+            other_column="id",
+        ),
+    ] == dogs_humans.foreign_keys