Medvedev has arguably been the best player on the ATP Tour over the past three weeks.
The Russian pulled off a stunning comeback win over world No 1 Novak Djokovic on Saturday night in their semi-final tie at the Cincinnati Masters.
It means he will now compete in his third straight tour-level final after reaching the championship match at both the Citi Open and the Rogers Cup.
Medvedev came unstuck against Nick Kyrgios and Rafael Nadal respectively in those two previous finals.
David Goffin stands in his way tonight of a fifth career ATP singles title, and the 23-year-old admits he will use his recent final defeats as motivation to win in Cincinnati.
“I need to win (smiling),” said Medvedev.
“No, actually, my mentality is always I take every match the same, from the first round, because I always say if you lose in the first round you won’t be in the final, so why to take it different?
“Talking about the final against Rafa, it was a tough one.
“I would say actually I don’t have any regrets.
“I mean, if it would be 7-6 in the third, then I would be sitting here, saying I had my chances.
“I had zero chances.
“Against Nick, I had my chances. I didn’t use them.
“I’m going to go out there tomorrow and be ready to fight, be consistent, and hopefully I can be the winner.”
No matter what happens this evening, Medvedev will no doubt head into the US Open in just over a week confident about his chances.
He has never made it past the first week in a Grand Slam, with his best performance being at this year’s Australian Open when he reached the fourth round.
But no player on the men’s tour has reached more finals in 2019 than Medvedev and his comeback win over Djokovic stands him in good stead heading into the final Grand Slam of the year.