Nineteen of the Russian's twenty-one championships have been achieved on hardcourt
A resurgent the Russian player secured his initial championship for nearly 30 months with success over opponent Moutet in the competition final.
The Russian, a ex- number one, has had a challenging season, managing just one match at the major tournaments and suffering a meltdown at the US Open.
Medvedev's unpredictability on the ATP Tour - and struggles with his serving in especial - led to him falling of the top ten and finally parting ways with former mentor Cervara.
Now training with Johansson and Rohan Goetzke, he has consistently advanced in the last few weeks - culminating in a tightly fought competitive victory over Frenchman Corentin Moutet.
This represents his first trophy following the Rome competition and first on a hard surface since that period of 2023.
Success also signifies the Russian has won twenty-one victories at twenty-one distinct events.
"This marks the first occasion I have attended a tournament with my two daughters together, so to get a trophy is really nice," stated world number 14 Medvedev.
"This championship is in tribute of my younger daughter her name, because the first title I achieved when my older daughter her name was born was for her."
Medvedev, the past champion, had failed in his last six championship matches, comprising in Halle earlier this year.
His defensive strategy and frequent emotional displays on the tennis court had led some to question if his capacity to perform at the top level was concluded.
Yet the 29-year-old has made changes in the last few weeks, making an effort to advance forward and compete assertively, supported by an better serving game.
Medvedev came back from a disadvantage in the opening set against the tricky Moutet, winning 4 of the concluding five points to take the lead.
The pair exchanged service breaks in the second set before the challenger, bidding for his maiden professional title, gained dominance to create a final set.
The opponent saved 4 early chances in a competitive third set before Medvedev won the break to that score to serve for the match.
Suitably, he earned victory with a point at the net area, with Moutet failing to manage a return after a lengthy match.