Deputy Energy Minister Artem Nekrasov said the overnight attacks targeted power plants, substations and combined heat and power plants. The Ukrainian Air Force said air defenses downed 309 Russian targets, including 3 ballistic missiles and 49 cruise missiles, with impacts recorded in 23 locations.

In Kharkiv, the munition struck a passage between hospital buildings, according to Oleh Syniehubov, head of the regional military administration. The 73 injured included patients, medical staff and residents of nearby homes, and 226 patients were evacuated.

The Ukrainian Prosecutor's Office said fragments of a FAB-250 aerial bomb fitted with a UMPK-5R guidance module were found at the site and opened a war crimes investigation. Windows were blown out across the hospital buildings, the facade and one department were damaged, and a laboratory was hit, along with the glazing of 10 apartment buildings and 13 cars.

In Dnipro, 15 people were injured, three of them in serious condition, according to regional administration head Oleksandr Hanja. Mayor Borys Filatov said a hospice building housing elderly and seriously ill patients sustained serious damage, and published a photograph of beds in a half-ruined room.

About 130 settlements — more than 180,000 customers — were left without electricity in the Zhytomyr region, said regional administration head Vitaliy Bunechko. In the Vinnytsia region, power was lost in most settlements.

Kharkiv suspended heat supply and hot water, and the metro warned of possible schedule changes. DTEK introduced emergency outages in Kyiv and the Kyiv and Dnipropetrovsk regions on orders from Ukrenergo.

Russia's Defense Ministry said it struck the Ladyzhyn thermal power plant in the Vinnytsia region, the Kryvyi Rih and Prydniprovska thermal power plants in the Dnipropetrovsk region, and the Kharkiv thermal power plant, as well as the Zmievska and Losevo substations in the Kharkiv region. There is no independent data on these claims.

DTEK said three thermal power plants stopped generating electricity because of extensive damage. In the Odesa region, a facility of Odesa Electricity Networks was damaged — it has repeatedly come under fire over the past two months, said regional administration head Oleh Kiper. Administrative buildings, warehouses and workshops of a food industry enterprise were also damaged; there were no casualties.

The death toll from a Russian attack on a humanitarian aid distribution point in the village of Kamyshevakha in the Zaporizhzhia region rose to 31, said regional military administration head Mykhailo Semykin. As of the morning of November 3, 48 people are listed as missing, and search and rescue operations continue.

Accounts diverge: Russia's Defense Ministry reported strikes on four thermal power plants and substations, while the Ukrainian side and DTEK report damage to energy facilities in 10 regions and the shutdown of three thermal power plants. There is no independent confirmation of the Russian Defense Ministry's claims.