diff --git a/docs/cli.rst b/docs/cli.rst
index cd5b6fd..6aa2833 100644
--- a/docs/cli.rst
+++ b/docs/cli.rst
@@ -348,6 +348,57 @@ This will create a table called ``mytable`` with two columns - an integer ``id``
 
 You can pass as many column-name column-type pairs as you like. Valid types are ``integer``, ``text``, ``float`` and ``blob``.
 
+You can specify columns that should be NOT NULL using ``--not-null colname``. You can specify default values for columns using ``--default colname defaultvalue``.
+
+::
+
+    $ sqlite-utils create-table mydb.db mytable \
+        id integer \
+        name text \
+        age integer \
+        is_good integer \
+        --not-null name \
+        --not-null age \
+        --default is_good 1 \
+        --pk=id
+
+    $ sqlite-utils tables mydb.db --schema -t
+    table    schema
+    -------  --------------------------------
+    mytable  CREATE TABLE [mytable] (
+                [id] INTEGER PRIMARY KEY,
+                [name] TEXT NOT NULL,
+                [age] INTEGER NOT NULL,
+                [is_good] INTEGER DEFAULT '1'
+            )
+
+You can specify foreign key relationships between the tables you are creating using ``--fk colname othertable othercolumn``::
+
+    $ sqlite-utils create-table books.db authors \
+        id integer \
+        name text \
+        --pk=id
+
+    $ sqlite-utils create-table books.db books \
+        id integer \
+        title text \
+        author_id integer \
+        --pk=id \
+        --fk author_id authors id
+
+    $ sqlite-utils tables books.db --schema -t
+    table    schema
+    -------  -------------------------------------------------
+    authors  CREATE TABLE [authors] (
+                [id] INTEGER PRIMARY KEY,
+                [name] TEXT
+             )
+    books    CREATE TABLE [books] (
+                [id] INTEGER PRIMARY KEY,
+                [title] TEXT,
+                [author_id] INTEGER REFERENCES [authors]([id])
+             )
+
 .. _cli_add_column:
 
 Adding columns
diff --git a/sqlite_utils/cli.py b/sqlite_utils/cli.py
index a6ad7ca..a29c3af 100644
--- a/sqlite_utils/cli.py
+++ b/sqlite_utils/cli.py
@@ -539,7 +539,22 @@ def upsert(
 @click.argument("table")
 @click.argument("columns", nargs=-1, required=True)
 @click.option("--pk", help="Column to use as primary key")
-def create_table(path, table, columns, pk):
+@click.option(
+    "--not-null", multiple=True, help="Columns that should be created as NOT NULL",
+)
+@click.option(
+    "--default",
+    multiple=True,
+    type=(str, str),
+    help="Default value that should be set for a column",
+)
+@click.option(
+    "--fk",
+    multiple=True,
+    type=(str, str, str),
+    help="Column, other table, other column to set as a foreign key",
+)
+def create_table(path, table, columns, pk, not_null, default, fk):
     "Add an index to the specified table covering the specified columns"
     db = sqlite_utils.Database(path)
     if len(columns) % 2 == 1:
@@ -556,7 +571,9 @@ def create_table(path, table, columns, pk):
                 "column types must be one of {}".format(VALID_COLUMN_TYPES)
             )
         coltypes[name] = ctype.upper()
-    db[table].create(coltypes, pk=pk)
+    db[table].create(
+        coltypes, pk=pk, not_null=not_null, defaults=dict(default), foreign_keys=fk
+    )
 
 
 @cli.command()
diff --git a/tests/test_cli.py b/tests/test_cli.py
index d002ac2..36e9b72 100644
--- a/tests/test_cli.py
+++ b/tests/test_cli.py
@@ -863,15 +863,17 @@ def test_upsert_alter(db_path, tmpdir):
     )
 
 
-def test_create_table():
-    runner = CliRunner()
-    with runner.isolated_filesystem():
-        result = runner.invoke(
-            cli.cli,
+@pytest.mark.parametrize(
+    "args,schema",
+    [
+        # No primary key
+        (
+            ["name", "text", "age", "integer",],
+            ("CREATE TABLE [t] (\n   [name] TEXT,\n   [age] INTEGER\n)"),
+        ),
+        # All types:
+        (
             [
-                "create-table",
-                "test.db",
-                "t",
                 "id",
                 "integer",
                 "name",
@@ -885,15 +887,76 @@ def test_create_table():
                 "--pk",
                 "id",
             ],
+            (
+                "CREATE TABLE [t] (\n"
+                "   [id] INTEGER PRIMARY KEY,\n"
+                "   [name] TEXT,\n"
+                "   [age] INTEGER,\n"
+                "   [weight] FLOAT,\n"
+                "   [thumbnail] BLOB\n"
+                ")"
+            ),
+        ),
+        # Not null:
+        (
+            ["name", "text", "--not-null", "name"],
+            ("CREATE TABLE [t] (\n" "   [name] TEXT NOT NULL\n" ")"),
+        ),
+        # Default:
+        (
+            ["age", "integer", "--default", "age", "3"],
+            ("CREATE TABLE [t] (\n" "   [age] INTEGER DEFAULT '3'\n" ")"),
+        ),
+    ],
+)
+def test_create_table(args, schema):
+    runner = CliRunner()
+    with runner.isolated_filesystem():
+        result = runner.invoke(
+            cli.cli, ["create-table", "test.db", "t",] + args, catch_exceptions=False
         )
         assert 0 == result.exit_code
         db = Database("test.db")
+        assert schema == db["t"].schema
+
+
+def test_create_table_foreign_key():
+    runner = CliRunner()
+    creates = (
+        ["authors", "id", "integer", "name", "text", "--pk", "id"],
+        [
+            "books",
+            "id",
+            "integer",
+            "title",
+            "text",
+            "author_id",
+            "integer",
+            "--pk",
+            "id",
+            "--fk",
+            "author_id",
+            "authors",
+            "id",
+        ],
+    )
+    with runner.isolated_filesystem():
+        for args in creates:
+            result = runner.invoke(
+                cli.cli, ["create-table", "books.db"] + args, catch_exceptions=False
+            )
+            assert 0 == result.exit_code
+        db = Database("books.db")
         assert (
-            "CREATE TABLE [t] (\n"
+            "CREATE TABLE [authors] (\n"
             "   [id] INTEGER PRIMARY KEY,\n"
-            "   [name] TEXT,\n"
-            "   [age] INTEGER,\n"
-            "   [weight] FLOAT,\n"
-            "   [thumbnail] BLOB\n"
+            "   [name] TEXT\n"
             ")"
-        ) == db["t"].schema
+        ) == db["authors"].schema
+        assert (
+            "CREATE TABLE [books] (\n"
+            "   [id] INTEGER PRIMARY KEY,\n"
+            "   [title] TEXT,\n"
+            "   [author_id] INTEGER REFERENCES [authors]([id])\n"
+            ")"
+        ) == db["books"].schema