Yes, you need a breakout board (or two). There is a huge variety of breakout boards available, with a huge range of features, at various prices.
A lot of people are using these cheap ones.
https://www.ebay.com/itm/5-Axis-CNC-Upg ... SwXYtY2jM4I like Leadshine AM882 drives from Ebay, which are good drives, at a good price. Leadshine won't support them, though, as they are not intended for sale outside China.
A lot of people like these low cost drives.
https://www.omc-stepperonline.com/stepp ... m542t.htmlWith Nema 23's, a lot of people like Leadshine MX4660, or Gecko G540 drives, which are 4 drives in one package, with integrated breakout board. So with these, you don't need a breakout board.