A serial killer who had murdered at least twenty people was receiving treatment in his own hospital—what should Chen Yu do?
Simply kill him? That would be no problem at all, and given the grudges entwining the beast's body, he certainly deserved to die. Even by the Necromancer's moral standards, he was due for death, and killing him would not cause Chen Yu any psychological burden.
Moreover, making a critically ill patient like this one die without anyone noticing was far too easy. Chen Yu only needed to meddle a little with his body and he wouldn't even need to use Necromancer's methods—wound infection, organ failure, cardiac arrest… There were far too many ways to end his miserable life.
As a Necromancer, Chen Yu never minded killing, nor did he feel that taking a life would cause him any psychological burden. He would also not stand on a moral high ground to condemn others for killing.