We study the efficient off-policy evaluation of natural stochastic policies, which are defined in terms of deviations from the behavior policy. This is a departure from the literature on off-policy evaluation where most work consider the evaluation of explicitly specified policies. Crucially, offline reinforcement learning with natural stochastic policies can help alleviate issues of weak overlap, lead to policies that build upon current practice, and improve policies' implementability in practice. Compared with the classic case of a pre-specified evaluation policy, when evaluating natural stochastic policies, the efficiency bound, which measures the best-achievable estimation error, is inflated since the evaluation policy itself is unknown. In this paper, we derive the efficiency bounds of two major types of natural stochastic policies: tilting policies and modified treatment policies. We then propose efficient nonparametric estimators that attain the efficiency bounds under very lax conditions. These also enjoy a (partial) double robustness property.