The suffering that the North Korean regime inflicts on its citizens is a lesser source of suffering than malaria worldwide (but not compared to individual highly malarial countries of similar population as North Korea) or industrial agriculture in US states of similar population. However, it may be on par or even exceed that inflicted on the US American prison population, a cause prioritized by the Open Philanthropy Project. There are risky but promising interventions, which could be scaled up if more funding were available. The cause area seems well suited for hits-based giving by major donors looking for funding gaps. The government change in South Korea of May 9, 2017, may further increase the marginal utility of funding.