Carlos Alcaraz leads the record after 10 meetings.
| Surface | Alcaraz | Medvedev |
|---|---|---|
| Hard | 5 | 2 |
| Grass | 2 | 1 |
| Tournament | Round | Surface | Winner | Score |
|---|---|---|---|---|
| BNP Paribas Open - Indian Wells 2026 | SF | Hard | Medvedev | 6-3 7-6(3) |
| China Open - Beijing 2024 | SF | Hard | Alcaraz | 7-5 6-3 |
| Wimbledon - London 2024 | SF | Grass | Alcaraz | 6-7(1) 6-3 6-4 6-4 |
| BNP Paribas Open - Indian Wells 2024 | F | Hard | Alcaraz | 7-6(5) 6-1 |
| Nitto ATP Finals - Turin 2023 | R5 | Hard (Indoor) | Alcaraz | 6-4 6-4 |
| Nitto ATP Finals - Turin 2023 | R5 | Hard (Indoor) | Alcaraz | 6-4 6-4 |
| U.S. Open - New York 2023 | SF | Hard | Medvedev | 7-6(3) 6-1 3-6 6-3 |
| Wimbledon - London 2023 | SF | Grass | Alcaraz | 6-3 6-3 6-3 |
| BNP Paribas Open - Indian Wells 2023 | F | Hard | Alcaraz | 6-3 6-2 |
| Wimbledon - London 2021 | R2 | Grass | Medvedev | 6-4 6-1 6-2 |
Meetings are the ones on our record. Older matches may be missing.
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