Djokovic was not at his best and in a grumpy mood, complaining on several occasions to the umpire about the slippery court surface on a damp day at the Foro Italico.
He slumped to only his third defeat of the entire season, hitting a couple of errant forehands and a double fault in the final game before Murray conjured up one inspirational backhand winner to lift the title.
No British man had won the Italian title since 1931 and the triumph gives the world number three Murray a major boost before the second of the season's grand slams, the French Open, starts next week.
(Reporting by Ian Chadband; Editing by Toby Davis)
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