19 of the Russian's twenty-one titles have been won on hardcourt
A comeback the Russian player won his maiden trophy for 882 days with success over Corentin Moutet in the competition final.
The Russian, a former world number one, has had a difficult season, achieving just one match at the major tournaments and suffering a meltdown at the New York tournament.
Medvedev's unpredictability on the tennis tour - and issues with his serving in especial - caused him falling of the top ten and ultimately parting ways with long-time coach his previous coach.
Now working with Johansson and his other coach, Medvedev has steadily progressed in the recent weeks - peaking in a closely contested competitive victory over opponent Moutet.
It is the player's maiden title after the Italian tournament and maiden on a hard court since spring of 2023.
Success also indicates the Russian has secured twenty-one victories at 21 various competitions.
"For the first time I'm at a competition with my children simultaneously, so to secure a title is especially meaningful," commented world number 14 the champion.
"This victory is in honour of my child her name, because the maiden victory I won when my older daughter her name was born was for her."
The athlete, the 2021 US Open champion, had been defeated in his last six finals, featuring in Halle in the past months.
His counter-punching strategy and regular reactions on the tennis court had caused commentators to doubt if his skill to play at the highest level was over.
However the 29-year-old has made changes in recent weeks, attempting to approach the net and perform assertively, reinforced by an improved service.
Medvedev fought back from a disadvantage in the initial set against the tricky Moutet, securing 4 of the last five games to take the lead.
The competitors exchanged break points in the following set before the Frenchman, bidding for his initial ATP Tour championship, took control to create a decider.
He rescued four early-game chances in a tight deciding set before Medvedev broke to 15 to close out the victory.
Suitably, Medvedev earned the title with a point at the net area, with the Frenchman unable to control a return after two hours and 38 minutes.