Clarification: Starlink does not operate within Russia. If it did there would be fewer civilian casualties as drones would be guided to the actual targets.
Civilian casualties are always a tragedy, it's just that russians don't care about them anymore - malls, transport hubs etc are targeted during the day. Putin explicitly says he wants us to freeze during winter and his propagandists cry for frontline cities as well as Kyiv, Kharkiv and others to be bombed into oblivion.