It was Medvedev's maiden ATP Tour title on clay at any level, let alone at a Masters 1000.

The 27-year-old had not won a match in his previous three visits to the Italian Open, but he concluded a dream run by overcoming Holger Rune to win in Rome on Sunday.

"In a way [this is my] number one [success], just because it's the first one on clay and it's unbelievable. I would never have thought I would be able to make this. Then [I] have to be honest, a Grand Slam is always bigger. [The 2021] US Open is always number one there," said Medvedev in his post-match press conference.

"This one is special because I didn't think it was going to be able to happen, [that I was] going to be able to make it. I still kind of don't believe... Not that I won it, but I played so well this week. I don't believe it. The way I played, I'm really happy. Happy to have this trophy back home in some time," he added.

Medvedev's deep groundstrokes have been a major component of his clay-court progression. His baseline retrieving has been the foundation of his hard-court success, and he attributed his success on the clay this year to a string change at the start of the 2023 season.

"Straightaway in Australia [with the new strings] actually, where I lost, with my coach we were like, 'Wow, I have the easy depth on the ball, which is amazing. In Australia, [it] didn't work. I was 100 per cent doubting myself. Should I go back to the old ones, I was playing well with them? I said no, let's try more. Now it's unbelievable," said Medvedev.

The 20-time tour-level champion believes that playing under championship-match pressure at Masters 1000 events helped him retain his cool against Rune.

"For sure every time you play a big final, it's an experience. It's an experience for the next one. For example, both Miami and here, I felt like the start was so-so, then I managed to get into the match more and more and play better and better," said Medvedev.

"When I played my first [ATP Masters 1000 final, in Montreal in 2019], it was against Rafa [Nadal]. I got destroyed. I started bad, as I kind of started these matches, and then I was only playing worse and worse. The next one I managed to win against Goffin [in Cincinnati in 2019]. It was a tight match for both of us. We knew it's going to be the first one for us," the 2023 Italian Open champion said.

"With experience, I managed to do better at this moment, so maybe that helped. But then in general terms, after Miami, I was feeling confident, good," the 27-year-old added.