19 of Medvedev's 21 titles have been earned on hardcourt
A resurgent Medvedev secured his initial trophy for 882 days with a win over Frenchman Moutet in the tournament final.
Medvedev, a ex- top-ranked player, has experienced a challenging season, achieving just one match at the major tournaments and suffering a setback at the US Open.
His unpredictability on the tennis tour - and struggles with his serve in specific - led to him falling of the elite rankings and ultimately parting ways with long-term coach his previous coach.
Currently training with his coach and Goetzke, he has steadily advanced in the past month - climaxing in a tightly fought 7-5 4-6 6-3 win over challenger Moutet.
This represents his initial title after the Rome competition and initial on a hard surface since March of that year.
Victory also signifies he has won twenty-one titles at twenty-one different competitions.
"For the first time I have attended a tournament with my both daughters simultaneously, so to secure a championship is especially meaningful," commented tennis professional the champion.
"This championship is in dedication of my second daughter my daughter, because the maiden victory I achieved when my first daughter my daughter was born was for her."
The athlete, the 2021 US Open champion, had failed in his past six title deciders, including in that event in the past months.
The player's retrieving strategy and regular emotional displays on the playing surface had caused observers to doubt if his skill to perform at the top level was over.
But the athlete has altered his approach in the last few weeks, attempting to advance forward and compete positively, backed up by an enhanced serving game.
He recovered from a deficit in the initial set against the difficult opponent, taking four of the concluding five exchanges to go ahead.
Both players exchanged service breaks in the following set before the challenger, bidding for his maiden ATP Tour victory, took control to create a final set.
Moutet defended four initial break points in a close third set before the Russian won the break to 15 to serve for the match.
Suitably, the winner earned the title with a shot at the front of the court, with the Frenchman unable to handle a return after a lengthy match.
