H. Rune and D. Medvedev are level 2-2 in their head-to-head since 2018 over 4 matches.
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By surface
| Surface | H. Rune | D. Medvedev |
| Hard | 1 | 1 |
| Clay | 1 | 1 |
Current ELO by surface
| Surface | H. Rune | D. Medvedev |
| Hard |
1892 (129-72) |
1941 (214-82) |
| Clay |
1899 (94-44) |
1854 (35-18) |
| Grass |
1732 (15-10) |
1811 (39-16) |
ELO is computed per surface from results since 2018; the win-loss pair is that surface's record.
Match history
| Date | Winner | Score | Event |
| March 15, 2025 | H. Rune | 2 - 0 | ATP Indian Wells · Semi-finals · hard |
| March 15, 2024 | D. Medvedev | 2 - 0 | ATP Indian Wells · Quarter-finals · hard |
| May 21, 2023 | D. Medvedev | 2 - 0 | ATP Rome · Final · clay |
| April 14, 2023 | H. Rune | 2 - 0 | ATP Monte Carlo · Quarter-finals · clay |
Recent form
H. Rune — 3-2 in the last 5
| Date | | Opponent | Score | Event |
| Oct. 18, 2025 |
L |
U. Humbert |
1 - 0 |
Stockholm · Semi-finals · hard |
| Oct. 17, 2025 |
W |
T. M. Etcheverry |
2 - 1 |
Stockholm · Quarter-finals · hard |
| Oct. 16, 2025 |
W |
M. Fucsovics |
2 - 0 |
Stockholm · 1/8-finals · hard |
| Oct. 9, 2025 |
L |
V. Vacherot |
1 - 2 |
Shanghai · Quarter-finals · hard |
| Oct. 7, 2025 |
W |
G. Mpetshi Perricard |
1 - 2 |
Shanghai · 1/8-finals · hard |
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