It is often assumed that effective radiative forcings, regardless of forcing agent, are additive in the temperature change. Using climate model simulations with abruptly applied aerosol forcing we find that the temperature response per unit forcing is larger if induced by aerosol-cloud interactions than directly by aerosols. The spatial patterns of forcing and temperature change show that aerosol-cloud interactions induce cooling over remote oceans in the extratropics, whereas the effect of increased emissions is localized around the emission sources primarily over tropical land. The results are consistent with ideas of how the patterns of sea surface temperature impact radiative feedbacks, and a large forcing efficacy of aerosol-cloud interactions could help explain previously observed intermodel spread in the response to aerosols.