Nineteen of Medvedev's 21 titles have been earned on hard courts
A resurgent Medvedev secured his maiden championship for nearly 30 months with a win over Corentin Moutet in the competition championship match.
The Russian, a former top-ranked player, has had a torrid year, achieving just one match at the big events and experiencing a meltdown at the US Open.
His unpredictability on the tennis tour - and struggles with his serve in especial - resulted in him dropping out of the world's top 10 and finally parting ways with long-time trainer his previous coach.
Currently working with his coach and Goetzke, the tennis star has gradually progressed in the recent weeks - climaxing in a hard-fought 7-5 4-6 6-3 victory over challenger Moutet.
It is Medvedev's initial trophy following the Rome competition and first on a hard surface from that period of 2023.
Victory also indicates Medvedev has secured twenty-one titles at 21 different competitions.
"It's the first time I am participating in a competition with my two daughters together, so to get a championship is really nice," commented world number 14 the champion.
"This championship is in honour of my child her name, because the maiden victory I got when my first daughter her name was born was for her."
Medvedev, the former major winner, had failed in his past six finals, featuring in that event in the past months.
The player's retrieving approach and recurring reactions on court had led commentators to wonder if his capacity to play at the highest level was over.
Yet the player has altered his approach in the last few weeks, attempting to approach the net and compete aggressively, reinforced by an better serving game.
He recovered from a disadvantage in the first set against the difficult Moutet, winning four of the final five games to take the lead.
Both players swapped breaks in the following set before the Frenchman, striving for his first ATP Tour title, seized the initiative to push for a final set.
The opponent rescued 4 initial break points in a tight third set before the Russian won the break to fifteen to serve for the match.
Fittingly, the winner clinched the title with a rally at the front of the court, with the Frenchman incapable to control a volley after a lengthy match.