The International Centre for Theoretical Physics (ICTP) in Italy has awarded its 2019 Dirac Medal and Prize to three physicists whose research has made a profound impact on modern cosmology. Viatcheslav Mukhanov (Ludwig Maximilian University of Munich), Alexei Starobinsky (Landau Institute for Theoretical Physics) and Rashid Sunyaev (Max Planck Institute for Astrophysics) share the prize for “their outstanding contributions to the physics of the cosmic microwave background with experimentally tested implications that have helped to transform cosmology into a precision scientific discipline by combining microscopic physics with the large-scale structure of the universe”.