I would presume that the receiver will still make an output request to the QUIC endpoint to at least bring-up the connection/stream, which should be enough to populate the path in NAT tables, no? It shouldn't be any more wasteful than the regular process which receives packets out-of-band but still needs a signaling channel. This just does in-band signaling, so you bring up the connection, perform signaling, then open a new QUIC stream to receive data.