Natasha Alam was born and raised in Tashkent, Uzbek SSR, Soviet Union in a Russian family. She attended school with the aim of becoming a clothing designer. She attended the Tashkent State Technical University for aviation school. Modeling at school led to modeling at events and eventually moving to Moscow, where she signed with an agency. An Italian modeling agency later signed her, and she moved to Italy.
Her first acting role was on the television show Fastlane (2002). She went on to appear on television shows including CSI, NYPD Blue, Nip/Tuck, The Unit, Entourage, and American Heiress. She also played the recurring role of Ava, a Forrester model, in The Bold and the Beautiful from 2004 to 2007. Films she has appeared in include the 2007 horror movie Shadow Puppets and the 2008 comedy The Women.
In 2010, she appeared in the third season of True Blood as Yvetta, an exotic dancer at Fangtasia, from Estonia. In July of that year, she appeared on the cover, and in the pictorial, of Playboy.
The following year, she shot an anti-bullying film with Joe Reitman, and that August. 27 took part in Rock the Mansion, a fashion show for an anti-bullying campaign, at the Playboy Mansion.

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