19 of the Russian's twenty-one titles have been won on hard courts
A comeback the Russian player secured his initial championship for 882 days with success over Frenchman Moutet in the competition title decider.
Medvedev, a former world number one, has endured a torrid year, winning just one win at the big events and undergoing a difficult moment at the US Open.
The player's inconsistency on the ATP Tour - and struggles with his service game in specific - led to him dropping out of the world's top 10 and finally parting ways with former mentor Cervara.
Presently collaborating with his coach and Goetzke, he has steadily progressed in the last few weeks - climaxing in a hard-fought competitive triumph over Frenchman Moutet.
This represents the player's maiden championship following the Italian tournament and first on a hard surface since spring of the previous year.
Victory also means the Russian has won 21 championships at twenty-one different competitions.
"This marks the first occasion I am participating in a tournament with my two daughters at once, so to win a championship is really nice," commented ranked player the champion.
"This victory is in honour of my child my daughter, because the first title I achieved when my child her name was delivered was for her."
The tennis star, the 2021 US Open champion, had been defeated in his previous six championship matches, comprising in the German tournament in the past months.
His counter-punching approach and regular outbursts on the playing surface had prompted some to doubt if his capacity to play at the highest level was finished.
However the athlete has implemented adjustments in recent weeks, attempting to approach the net and play assertively, backed up by an improved service.
Medvedev recovered from a break down in the first set against the challenging Frenchman, winning four of the concluding five points to take the lead.
The competitors traded service breaks in the middle set before Moutet, striving for his initial professional title, took control to force a final set.
He defended 4 early-game opportunities in a tight final set before Medvedev won the break to that score to secure the win.
Appropriately, the winner secured the title with a point at the net, with his opponent incapable to control a shot after a lengthy match.