Nineteen of Medvedev's 21 championships have been won on hard surfaces
A resurgent the Russian player won his initial title for 882 days with victory over Corentin Moutet in the competition final.
Medvedev, a former number one, has had a torrid period, managing just one win at the major tournaments and undergoing a meltdown at the New York tournament.
Medvedev's inconsistency on the tennis tour - and issues with his service game in particular - caused him falling of the world's top 10 and finally parting ways with long-term coach Cervara.
Presently collaborating with Thomas Johansson and Rohan Goetzke, the tennis star has steadily progressed in the recent weeks - peaking in a tightly fought competitive victory over Frenchman Moutet.
This marks Medvedev's initial title after the Italian tournament and initial on a hard court since that period of 2023.
Success also signifies he has secured 21 victories at 21 distinct events.
"This marks the first occasion I'm at a tournament with my children simultaneously, so to win a title is really nice," stated ranked player the champion.
"This championship is in dedication of my second daughter Victoria, because the first title I achieved when my child Alisa was born was for her."
The tennis star, the past champion, had been defeated in his previous six title deciders, including in Halle earlier this year.
His counter-punching play style and frequent emotional displays on court had led commentators to wonder if his ability to compete at the highest level was concluded.
However the athlete has made changes in the past month, making an effort to come to the net and compete positively, backed up by an better service.
Medvedev recovered from a deficit in the first set against the tricky Moutet, winning 4 of the last five points to take the lead.
Both players traded break points in the second set before Moutet, striving for his first professional title, seized the initiative to force a third set.
The opponent defended four initial chances in a close third set before the Russian won the break to fifteen to close out the victory.
Appropriately, Medvedev clinched the title with a shot at the front of the court, with the Frenchman incapable to control a return after over two and a half hours.