Symbiotic stars are interacting binaries with the longest orbital periods and their multi-component structure makes them rich astrophysical laboratories. The accretion of a high mass loss rate red giant wind on to a white dwarf (WD) makes them promising Type Ia supernovae (SNe Ia) progenitors. Systematic surveys for new Galactic symbiotic stars are critical to identify new promising SNe Ia progenitors (e.g. RS Oph) and to better estimate the total population size to compare against SNe Ia rates. Central to the latter objective is building a complete census of symbiotic stars towards the Galactic Bulge. Here we report on the results of a systematic survey of Hα emission line stars covering 35 deg 2 . It is distinguished by the combination of deep optical spectroscopy and long-term lightcurves that improve the certainty of our classifications. A total of 20 bona-fide symbiotic stars are found (13 S-types, 6 D-types and 1 D ′ -type), 35% of which show the symbiotic specific Raman-scattered OVI emission bands, as well as 15 possible symbiotic stars that require further study (6 S-types and 9 D-types). Lightcurves show a diverse range of variability including stellar pulsations (semi-regular and Mira), orbital variations and slow changes due to dust. Orbital periods are determined for 5 S-types and Mira pulsation periods for 3 D-types. The most significant D-type found is H1-45 and its carbon Mira with a pulsation period of 408.6 days, corresponding to an estimated period-luminosity relation distance of ∼6.2 ± 1.4 kpc and M K = −8.06 ± 0.12 mag. If H1-45 belongs to the Galactic Bulge, then it would be the first bona-fide luminous carbon star to be identified in the Galactic Bulge population. The lack of luminous carbon stars in the Bulge is a longstanding unsolved problem. A possible explanation for H1-45 may be that the carbon enhancement was accreted from the progenitor of the WD companion. A wide variety of unusual emission line stars were also identified. These include central stars of PNe (one [WC10-11] Wolf-Rayet and 5 with high density cores), 2 novae, 2 WN6 Wolf-Rayet stars, 2 possible Be stars, a B[e] star with a bipolar outflow, an ultracompact HII region and a dMe flare star. Dust obscuration events were found in two central stars of PNe, increasing the known cases to 5, as well as one WN6 star. There is considerable scope to uncover several more symbiotic stars towards the Bulge, many of which are currently misclassified as PNe, provided that deep spectroscopy is combined with optical and near-infrared lightcurves.