Offline reinforcement learning (RL) provides a compelling paradigm for training autonomous systems without the risks of online exploration, particularly in safety-critical domains. However, jointly achieving strong safety and performance from fixed datasets remains challenging. Existing safe offline RL methods often rely on soft constraints that allow violations, introduce excessive conservatism, or struggle to balance safety, reward optimization, and adherence to the data distribution. To address this, we propose Epigraph-Guided Flow Matching (EpiFlow), a framework that formulates safe offline RL as a state-constrained optimal control problem to co-optimize safety and performance. We learn a feasibility value function derived from an epigraph reformulation of the optimal control problem, thereby avoiding the decoupled objectives or post-hoc filtering common in prior work. Policies are synthesized by reweighting the behavior distribution based on this epigraph value function and fitting a generative policy via flow matching, enabling efficient, distribution-consistent sampling. Across various safety-critical tasks, including Safety-Gymnasium benchmarks, EpiFlow achieves competitive returns with near-zero empirical safety violations, demonstrating the effectiveness of epigraph-guided policy synthesis.