19 of the Russian's twenty-one victories have been won on hardcourt
A comeback Medvedev secured his first title for 882 days with a win over Frenchman Moutet in the competition title decider.
The athlete, a former world number one, has had a torrid year, managing just one win at the big events and undergoing a difficult moment at the American major.
Medvedev's inconsistency on the tennis tour - and difficulties with his serving in especial - resulted in him falling of the top ten and finally splitting with long-time mentor Cervara.
Presently collaborating with his coach and Rohan Goetzke, he has steadily progressed in the recent weeks - peaking in a tightly fought competitive win over Frenchman Corentin Moutet.
This marks his initial title following the Rome competition and first on a hard court since March of 2023.
Victory also indicates Medvedev has won 21 victories at twenty-one different competitions.
"For the first time I'm at a event with my both daughters at once, so to secure a championship is particularly special," said tennis professional the champion.
"This victory is in dedication of my second daughter my daughter, because the initial championship I won when my older daughter her name was delivered was for her."
Medvedev, the past champion, had been defeated in his last six title deciders, featuring in the German tournament in the past months.
His defensive approach and frequent emotional displays on court had led commentators to doubt if his capacity to perform at the elite level was concluded.
Yet the player has altered his approach in recent weeks, making an effort to approach the net and play assertively, reinforced by an better service.
Medvedev came back from a deficit in the first set against the challenging opponent, winning four of the final five exchanges to take the lead.
The pair traded service breaks in the following set before the challenger, striving for his first tour title, seized the initiative to create a decider.
He defended four early break points in a competitive deciding set before Medvedev secured a break to fifteen to serve for the match.
Suitably, he secured victory with a rally at the net area, with Moutet failing to handle a shot after two hours and 38 minutes.