Most tourists in North Korea don’t really have their choice of hotels so a review of a place like the Youth Hotel is probably more for informative than decision-making purposes anyway.
The biggest plus about this place: an outdoor pool with a fun slide! Even the Yanggakdo can’t claim that. While we were there the pool guests were mostly North Koreans who paid for daytime pool access. The water was also pretty clean, although I couldn't say the same for the indoor sauna/locker facilities. Other hotel offerings included a newish burger fast food joint (just to the side of the hotel), a fairly decent restaurant on the first floor, a small bookshop on the second floor, and a general snacks and sundries shop just outside the hotel entrance that was open late for a nighttime beer run.
Everything else about this hotel is pretty standard for North Korea: dimly lit, cavernous, marble-lined spaces that looked a bit run down and dated, rooms with old, musty, cigarette-stained furniture and worn linens, and somewhat dingy, dimly lit bathrooms with plumbing issues. I visited in the middle of summer so I can’t speak to the heat available at this hotel, but there was limited air conditioning in my room. In comfort and cleanliness, the rooms are a step below what you’ll find at the Yangakkdo; it makes sense to me now why tourists are usually housed there instead of places in the city like the Youth Hotel.
Overall, it’s a decent option for one night, although if your tour operator has you staying here for longer I would probably push for something better like the Koryo or the Yanggakdo.