Answering a question of Conway and Guy in a 1968 paper, Lángi in 2021 proved the existence of a monostable polyhedron with $n$-fold rotational symmetry for any $n \geq 3$, and arbitrarily close to a Euclidean ball. In this paper we strengthen this result by characterizing the possible symmetry groups of all mono-monostatic smooth convex bodies and convex polyhedra. Our result also answers a stronger version of the question of Conway and Guy, asked in the above paper of Lángi.