The 47-member UN Human Rights Council in Geneva adopted a resolution condemning the "ongoing systematic, widespread and gross human rights violations" in the isolated Asian nation.
The resolution -- which passed with 30 votes in favour, six opposed and 11 abstentions -- urged the Security Council to make sure "those responsible for human rights violations, including those that may amount to crimes against humanity, are held to account".
It also extended a probe into human rights violations in the country by the UN's special rapporteur for another year.
Amid repeated objections from US representative Paula Schriefer, So said the resolution was "a product of confrontation and plots", charging that "the United States and other hostile forces" were merely trying to "cover up their bloody history".
North Korea's long-time ally China came to Pyongyang's defence, insisting the searing 400-page report used as a basis for the resolution drew conclusions that "do not tally with the facts".
"We are gravely concerned by the findings", said Greek representative Alexandros Alexandris, speaking on behalf of the EU.
Japanese ambassador to the UN in Geneva, Takashi Okada, agreed.
