Not caring if someone dies from your actions is the same as gleefully killing them.
Giving 100 gold to a beggar and donating your time and 10 000 gold to an orphanage are not the same thing, but the existence of the 2nd option doesn’t make the first option neutral.
Giving 100 gold to a beggar and donating your time and 10 000 gold to an orphanage are not the same thing, but the existence of the 2nd option doesn’t make the first option neutral.