19 of Medvedev's 21 titles have been earned on hardcourt
A comeback Medvedev secured his maiden trophy for 882 days with victory over Corentin Moutet in the tournament championship match.
Medvedev, a former world number one, has had a torrid season, winning just a single victory at the Grand Slams and experiencing a setback at the New York tournament.
The player's inconsistency on the ATP Tour - and struggles with his service game in specific - caused him exiting of the top ten and ultimately parting ways with former coach Cervara.
Presently working with Thomas Johansson and Goetzke, the tennis star has consistently progressed in the past month - peaking in a closely contested competitive win over Frenchman Moutet.
It is Medvedev's maiden championship after the Italian tournament and maiden on a hard surface from that period of 2023.
Success also signifies Medvedev has won 21 titles at twenty-one different tournaments.
"It's the first time I'm at a tournament with my both daughters together, so to win a trophy is especially meaningful," stated world number 14 Medvedev.
"This championship is in tribute of my child her name, because the initial championship I got when my child her name was delivered was for her."
Medvedev, the former major winner, had failed in his past six finals, comprising in Halle earlier this year.
Medvedev's counter-punching approach and regular outbursts on court had prompted some to question if his ability to compete at the elite level was concluded.
However the 29-year-old has made changes in the last few weeks, making an effort to advance forward and compete positively, reinforced by an enhanced service.
He fought back from a break down in the first set against the challenging Moutet, securing 4 of the concluding five exchanges to go ahead.
The competitors traded break points in the following set before the Frenchman, striving for his maiden professional victory, seized the initiative to push for a decider.
He rescued four initial break points in a close third set before the Russian broke to that score to serve for the match.
Appropriately, he secured victory with a point at the net area, with the Frenchman incapable to control a return after over two and a half hours.