Depending on the NAT implementation this can be incredibly naive. Many home routers will send ANY traffic incoming on a port to the NAT'd IP address, even if the sources don't line up.

So say Alice is behind a crappy NAT and wants to talk to Bob. Alice's router opens a port on its edge, lets say 1234, and sends traffic to Bob on port 80.

Let's say Charles knows Alice's IP address. Charles starts spamming Alice's router, eventually hitting port 1234 with bad data.

Alice's router is dumb. It sees traffic on port 1234, checks its NAT table, and sees that data is supposed to go to Alice. It happily rewrites that packet and passes it along to Alice. Now Alice is getting traffic from Bob *and* Charles. Uh oh!

Many game consoles are explicitly designed around this bad, broken behavior. You'll open a port to the matchmaking server and then the matchmaking server will tell people to connect to that IP address and port combination. Crappy home routers will happily route that data through its NAT configuration to the console despite the console never explicitly opening up traffic to those other parties. This is why some game consoles will complain about closed NAT versus open NAT.