Generative semantic communication receivers deliver high perceptual quality but suffer from prohibitive decoding latency. This bottleneck arises because diffusion receivers rely on stochastic iterative decoding, while existing flow matching receivers employ independent endpoint coupling that ignores the physical source--channel link, yielding unnecessarily long and curved sampling trajectories. In this paper, we reformulate receiver-side recovery as a realization-coupled bridge flow matching problem under explicit bandwidth and power constraints. Specifically, we propose Realization-Coupled Bridge Flow Matching (RC-BFM), where the decoder initializes from a channel-induced semantic state rather than isotropic noise. Crucially, training pairs are linked via a realization-coupled entropic optimal transport (RC-OT) plan that preserves the physical channel realization of each transmission while maintaining robustness to stochastic fading. Furthermore, we identify independent coupling as the fundamental source of a conditional train--test distribution shift in conditional flow matching-based receivers, and derive an end-to-end distortion bound whose discretization error decays as \(O(K^{-2})\). Experiments on CIFAR-10 and FFHQ-64\(\times\)64 over AWGN and Rayleigh fading channels demonstrate that RC-BFM achieves a superior fidelity--perception trade-off, reducing decoding latency by over 10\(\times\) compared to diffusion-based receivers.

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