19 of the Russian's 21 titles have been won on hard courts
A revitalized the Russian player won his maiden title for 882 days with victory over Corentin Moutet in the competition championship match.
The athlete, a former number one, has had a challenging season, managing just a single victory at the major tournaments and experiencing a difficult moment at the New York tournament.
Medvedev's inconsistency on the ATP Tour - and issues with his serving in particular - caused him falling of the top ten and ultimately separating with long-term trainer his previous coach.
Now working with his coach and his other coach, he has consistently advanced in the past month - climaxing in a tightly fought competitive victory over opponent Corentin Moutet.
It is the player's maiden title after the Rome competition and maiden on a hardcourt since that period of 2023.
Victory also signifies the Russian has secured 21 championships at twenty-one various tournaments.
"This marks the first occasion I'm at a tournament with my children simultaneously, so to get a title is particularly special," commented world number 14 Medvedev.
"This championship is in dedication of my second daughter my daughter, because the first title I won when my first daughter Alisa was delivered was for her."
Medvedev, the 2021 US Open champion, had failed in his previous six finals, featuring in the German tournament earlier this year.
Medvedev's counter-punching strategy and recurring emotional displays on court had led commentators to wonder if his capacity to play at the highest level was over.
But the player has altered his approach in recent weeks, striving to come to the net and perform positively, reinforced by an enhanced service.
Medvedev recovered from a deficit in the opening set against the challenging opponent, taking 4 of the final five exchanges to go ahead.
The pair exchanged service breaks in the second set before Moutet, bidding for his maiden ATP Tour victory, took control to push for a decider.
He saved 4 early-game chances in a tight deciding set before Medvedev won the break to fifteen to secure the win.
Fittingly, the winner secured the win with a shot at the net, with Moutet incapable to control a volley after a lengthy match.