Altermagnets are a promising class of materials for spintronic applications. However, compounds that simultaneously combine the symmetry required to support an anomalous Hall effect with good metallic conductivity and magnetic ordering temperatures well above room temperature have remained elusive. Here, we demonstrate that partial substitution of Cr by Mn in epitaxial CrSb(100) thin films provides a viable route to engineer the combined structural and magnetic symmetry necessary to enable an otherwise symmetry-forbidden anomalous Hall effect. We systematically explore the magnetic phase diagram of Cr(Mn)Sb thin films including neutron diffraction. This allows us to identify a magnetic symmetry that supports the anomalous Hall effect, which we demonstrate in Cr(0.75)Mn(0.25)Sb. Guided by Landau theory, we model the field-driven reorientation of the Neel vector and the resulting anomalous Hall response, achieving good qualitative agreement with the experimental observations.