The NEC (national Electrical Code) and IEEE red Book define the neutral as a current carrying conductor and the ground or earth as a safety current path for stray electrical currents. One has potential (voltage) the other is intentionally zero under normal circumstances. (even if they are bonded at the same point electrically at the service entrance point) The wall connector and gen 2 connector determine if there is an effective ground path through some deminimis leakage current (not enough to trip a ground fault circuit breaker) It appears that Tesla does not utilize the neutral yet other responses are correct, per code if you install the 4 wire device, you need to run all four wires and it’s plausible that some future use could require it. If you choose to use the gen 2 adapter that accommodates various plug configurations, its max current is 32 amperes and can be effectively sourced with number 8 awg and a 40 ampere circuit breaker provided the device is rated for 75 degree c terminations and the cable insulation itself is listed for 75 degree c on table 310-16. A licensed electrician will understand these matters and will install the 6-50 receptacle (3 wire) or the 14-50 (4 wire) receptacle at your direction. Depending on the distance, costs might not be immaterial. If you are purchasing the gen 2 connector with the integral 14-50 plug, its rating is 40 ampere continuous supply and must be served by #6 awg and a 50 ampere circuit breaker. The NEC requires power circuits and devices to be derated to 80% of capacity for a continuous load, (which is also defined as a load that is 4 hours or greater) and the charge cycle of our Teslas easily meet that definition. If you don’t really know what you are doing hire a qualified individual. I am served by a utility that has a 6 hour super off peak rate and it’s desirable to do my daily charging in that time period. One other thing many ignore is that the overall service (to the home) needs to be considered if you push the current in amperes to max. Although my MY is limited to 11 kw which nominally is 45 amperes continuous or a 60 ampere circuit, sourcing a wall connector. Which while likely be future proof, the overall load, ac, range, dryer, lighting and nominally assigning 180 watts per receptacle in the home needs to be considered. Homes may have anything from 60 ampere service to 400 or more yet most commonly 100, 150 or 200 which also has to be derated by 80%. Tesla has the means to power limit multiple wall connectors, yet if you happen to soon also have a Lightning, as I hope to soon, I’m going to have to schedule charging such that my 200 ampere service isn’t overloaded, and will integrate that with my air conditioning controls, upgrading the service that underground to my home is impractical. I might use two wall connectors integrated and an adapter for ccs for the lightning, so the demand limit is automatic. (Ford claims their max is apparently maxed at 90 amperes, which I can‘t practically do) BTW, I’m a power engineer