It is known, that for a morphism of universal algebras $f : A \to B$, if $R$ is the congruence relation given by $xRy \Leftrightarrow fx=fy$, then $\operatorname{im} f \cong A/R $.
Here is an idea for a categorical version of this statement:
Let $f : A\to B$ be a morphism with a kernel pair $p_1,p_2 :P \to A$ and a coequalizer $e : A \to E$ of $p_1$ and $p_2$. Then there exists a unique morphism $m : E\to B$, such that $f = m\circ e$ and $m$ is an image of $f$ in this case.
Put simply: "$A/R = E \cong \operatorname{im} f$".
Such a morphism exists, as $e$ is a coequalizer and $f\circ p_1 = f\circ p_2$. If $m$ happend to be mono, then $m$ is an image of $f$, since $e$ is a regular epi and hence a strong epi.
What kind of reasonable properties should my ambient category have, such that $m$ is mono? Does this work for all regular categories or maybe even for all categories with (strong epi-mono)-factorizations or something like that? (Am I missing something simple?)
Using the information given by Vej Kse in the answer he linked, I'll answer this question as follows:
Let $\mathcal{A}$ have kernel pairs and coequalizers of kernel pairs. Then every morphism $f$ in $\mathcal{A}$ has a regular coimage $\operatorname{coim}_\text{R} f$ and it is given by the coequalizer its kernel pair (as shown here).
If $\operatorname{coim}_\text{R} f$ is mono then we have $p_1 = p_2$ for the kernel pair $(p_1,p_2)$ of $f$, hence $f$ is mono.
The "first isomorphism theorem" now says:
As already mentoined, $m$ is then an image of $f$. So if the first isomorphism theorem holds, then images also exist in $\mathcal{A}$ and every morphism factors as its regular coimage followed by its image.
The following are equivalent (in $\mathcal{A}$):
Proof:
$\Rightarrow$ 2.: Obvious.
$\Rightarrow$ 3.: An extremal epi $e$ factors as $e = m'\circ e'$ with a regular epi $e'$ and a mono $m'$ then $m'$ iso, hence $e$ is a regular epi.
$\Rightarrow$ 4.: Every strong epi is extremal.
$\Rightarrow$ 5.: Strong and regular epis coincide and the former are stable under composition.
$\Rightarrow$ 1.:
Let $f = m \circ \operatorname{coim}_\text{R} f$ and $m = m' \circ \operatorname{coim}_\text{R} m$. Then $e' := \operatorname{coim}_\text{R} m \circ \operatorname{coim}_\text{R} f$ is a regular epi (since they are stable under composition) and $f = m' \circ e'$. Because of the property regular coimages have, there is a morphism $k$ such that $\operatorname{coim}_\text{R} f = k\circ e'$. Then $k\circ \operatorname{coim}_\text{R} m = \operatorname{id}$, in particular $\operatorname{coim}_\text{R} m$ is mono, hence $m$ is mono. $\checkmark$
A remark:
The first isomorphism theorem holds in every regular category, even in the weak sense that:
This of course includes all categories of models of a Lawvere theory in $\mathsf{Set}$, including the category of sets, groups, rings, modules, etc., and all abelian categories.