In recent years, the role of MNEs in China's economic development has been significant, yet their activities have also led to environmental degradation and human rights abuses. This paper delves into the intricate issue of environmental human rights accountability of multinational enterprises (MNEs) operating in China and examines the theoretical underpinnings and practical challenges in holding MNEs accountable for their environmental human rights impacts. It begins by outlining the basic concepts of MNEs' environmental human rights responsibilities, drawing upon international and domestic legal frameworks. Subsequently, it analyzes the common areas of environmental degradation and human rights violations committed by MNEs in China, highlighting the complexities of jurisdiction and enforcement. The article further explores the difficulties in determining accountability and selecting appropriate jurisdictions for legal redress. Through a comparative analysis of existing legal mechanisms and international practices, the paper proposes recommendations for China and the international community to strengthen accountability mechanisms and enhance regulatory frameworks. Ultimately, the paper aims to contribute to the discourse on ensuring that MNEs operating in China fulfill their environmental human rights responsibilities.