When I lived in the area, I regularly rescued people stranded on roads in the Sierra Nevada mountains around Lake Tahoe that found out the hard way that their vehicles were unfit for the changing road conditions. Nearly getting stranded myself a couple times over the decades informed my vehicular requirements.
I currently live in the city and but rarely drive there. Almost all of my driving is done across the western US. I require the vehicle I own to be able to safely navigate all of the road conditions I am likely to see there.
A less common reason is that the nice paved roads are not always the fastest way between two points. I used to regularly commute to a town in Nevada where using the nice paved highway around the mountains took 30 minutes longer than taking an old mining road straight over the mountains. Everyone that lived in the area took the old mining road. That would have been sketchy without decent ground clearance. A lot of locals just drove old Subarus.
AKA a large SUV or truck is not necessary.
A large 4WD will handle conditions a Subaru will not but a Subaru is fine for getting around the area if you typically stay off most ranch/mining roads. It is illegal to maintain the ranch/mining roads for historical reasons, so they get a bit spicy.