Nineteen of Medvedev's 21 championships have been earned on hardcourt
A comeback the Russian player claimed his initial title for over two years with victory over Corentin Moutet in the competition final.
The Russian, a ex- number one, has experienced a challenging period, achieving just a single victory at the major tournaments and suffering a meltdown at the New York tournament.
His unpredictability on the tennis tour - and issues with his serving in specific - resulted in him exiting of the world's top 10 and ultimately splitting with former trainer his previous coach.
Presently working with Johansson and his other coach, Medvedev has consistently progressed in the past month - peaking in a closely contested competitive triumph over challenger Moutet.
It is Medvedev's initial championship following the Italian tournament and first on a hardcourt from that period of 2023.
Success also indicates Medvedev has won 21 victories at 21 various tournaments.
"For the first time I am participating in a event with my two daughters at once, so to secure a title is really nice," stated world number 14 the champion.
"This championship is in tribute of my child my daughter, because the maiden victory I won when my older daughter Alisa was born was for her."
The tennis star, the past champion, had failed in his past six title deciders, including in Halle in the past months.
The player's counter-punching play style and frequent outbursts on court had prompted commentators to wonder if his capacity to perform at the highest level was finished.
Yet the 29-year-old has made changes in the past month, making an effort to advance forward and perform positively, reinforced by an enhanced service.
He fought back from a deficit in the opening set against the challenging opponent, winning 4 of the concluding five points to go ahead.
The pair traded break points in the second set before Moutet, bidding for his maiden ATP Tour championship, gained dominance to force a decider.
The opponent saved four initial opportunities in a competitive deciding set before Medvedev secured a break to fifteen to close out the victory.
Fittingly, Medvedev clinched the title with a shot at the net area, with Moutet unable to control a return after a lengthy match.