Have them emit metrics when it's triggered. You can do a bulk "names X, Y, Z haven't used branch B in >30 days, delete?" task generator pretty easily. Un-triggered ones are also easy to catch if you force all calls to be grep-friendly (or similar), which is also an easy lint to write: unclear result? Block it, force `flag("inline constant", ...)`.

Personally I've also had a lot of success requiring "expiration" dates for all flags, and when passed they emit a highly visible warning metric. You can always just bump it another month to defer it, but people eventually get sick of doing that and clean it up so it'll go away for good. Make it mildly annoying, so the cleanup is an improvement, and it happens pretty automatically.