During his reign, the advanced tobacco trade caused the Sultanate to reach its height of prosperity.

The Sultan was presented two honorary ranks of the Kingdom of the Netherlands as a measure of thanks for his services.

Sultan Ma'moen Al-Rashid Perkasa Alam established a palace in Kampung Bahar in 1886, which was finished in 1888.

In 1906 construction began for the Great Mosque of Medan in the city Ma'sum which was first used for prayers in 1909.

Tuanku Sultan Abdul Aziz Abdul Jalil Rahmatsyah of the state of Langkat and Sultan Sulaiman Syariful Alam of the state of Serdang also attended Friday prayers during the Grand Mosque's prime.